Provider Demographics
NPI:1881948784
Name:WATKINS, MORGAN (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:MORGAN
Middle Name:
Last Name:WATKINS
Suffix:
Gender:M
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 1:600 SUPERIOR AVE E
Mailing Address - Street 2:STE 2400
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2691
Mailing Address - Country:US
Mailing Address - Phone:972-745-7500
Mailing Address - Fax:972-956-8887
Practice Address - Street 1:3031 MEDICAL CENTER PKWY STE B
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4243
Practice Address - Country:US
Practice Address - Phone:615-610-1756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4714363LF0000X
AZRN145306363LF0000X
TN22864363LF0000X
TN0000224906163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily