Provider Demographics
NPI:1740876598
Name:PORTER, MORGAN SMITH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:SMITH
Last Name:PORTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:JENNIFER
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:300 JOHN ST
Mailing Address - Street 2:UNIT 4B
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-1463
Mailing Address - Country:US
Mailing Address - Phone:864-684-2705
Mailing Address - Fax:
Practice Address - Street 1:106 PARRIS BRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-1900
Practice Address - Country:US
Practice Address - Phone:864-614-5312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5015746363LF0000X
SC24539363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily