Provider Demographics
NPI:1801191622
Name:SMITH, MORGAN CRAFT (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:CRAFT
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 US HIGHWAY 51 N STE 106
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-1629
Mailing Address - Country:US
Mailing Address - Phone:901-464-0443
Mailing Address - Fax:901-373-3303
Practice Address - Street 1:8370 US HIGHWAY 51 N STE 106
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-1629
Practice Address - Country:US
Practice Address - Phone:901-464-0443
Practice Address - Fax:901-373-3303
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily