Provider Demographics
NPI:1881116556
Name:MUNSON, MORGAN MICHELLE (FNP)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MICHELLE
Last Name:MUNSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:MICHELLE
Other - Last Name:EMERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 W RAMPART ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8897
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2451 INTELLIPLEX DR STE 295
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8580
Practice Address - Country:US
Practice Address - Phone:317-398-0121
Practice Address - Fax:317-825-5316
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28197950A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily