MEDICARE: DR. PHYLLIS MORGAN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5000968	NC
2	363LF0000X	Family Nurse Practitioner	0024000025	VA

General Provider Information

NPI Number	:	1891967832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHYLLIS MORGAN FNP

Provider Business Mailing Address
First Line	:	16712 RICHMOND HWY
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22026-2115
Country	:	US
Telephone Number	:	910-818-9101
Fax Number	:

Provider Business Practice Location Address
First Line	:	16712 RICHMOND HWY
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22026-2115
Country	:	US
Telephone Number	:	910-818-9101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	04/08/2025

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