Provider Demographics
NPI:1790370716
Name:PORTER, MEGAN MICHELLE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MICHELLE
Last Name:PORTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12073 NORTH GRAND PARKWAY EAST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357
Mailing Address - Country:US
Mailing Address - Phone:281-306-2102
Mailing Address - Fax:281-354-5368
Practice Address - Street 1:12073 NORTH GRAND PARKWAY EAST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357
Practice Address - Country:US
Practice Address - Phone:281-306-2102
Practice Address - Fax:281-354-5368
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1026744363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily