Provider Demographics
NPI:1538882444
Name:DEWITT, MORGAN LEIGHANN (FNP AND PMHNP)
Entity type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:LEIGHANN
Last Name:DEWITT
Suffix:
Gender:F
Credentials:FNP AND PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 OGDEN ST
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3417
Mailing Address - Country:US
Mailing Address - Phone:724-562-8403
Mailing Address - Fax:
Practice Address - Street 1:130 WOODLAND CT STE 1
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9383
Practice Address - Country:US
Practice Address - Phone:724-880-0740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026090363LF0000X
PASP029744363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily