Provider Demographics
NPI:1619486123
Name:MORRISON, EMILY R (A-GNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:R
Last Name:MORRISON
Suffix:
Gender:F
Credentials:A-GNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 OLIVER WAY
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6359
Mailing Address - Country:US
Mailing Address - Phone:757-969-3867
Mailing Address - Fax:
Practice Address - Street 1:6 SNIDOW BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2360
Practice Address - Country:US
Practice Address - Phone:216-978-0315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001240900163W00000X
VA0024175155363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse