Provider Demographics
NPI:1568116721
Name:HARVEY-MORSE, ORDEL (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ORDEL
Middle Name:
Last Name:HARVEY-MORSE
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 SPRINGTIME TRL
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:TN
Mailing Address - Zip Code:37865-3253
Mailing Address - Country:US
Mailing Address - Phone:231-290-3445
Mailing Address - Fax:
Practice Address - Street 1:814 SPRINGTIME TRL
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:TN
Practice Address - Zip Code:37865-3253
Practice Address - Country:US
Practice Address - Phone:231-290-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily