Provider Demographics
NPI:1770374084
Name:PORTER, MORGAN RACHELLE (CNP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RACHELLE
Last Name:PORTER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:RACHELLE
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39680 DAWLEY NEW PITTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-9161
Mailing Address - Country:US
Mailing Address - Phone:719-565-9896
Mailing Address - Fax:
Practice Address - Street 1:506 E MAIN ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OH
Practice Address - Zip Code:43748-9701
Practice Address - Country:US
Practice Address - Phone:740-715-3160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0039133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily