Provider Demographics
NPI:1548495070
Name:MORGAN, BARBARA (PHD PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PHD PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 874
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-0874
Mailing Address - Country:US
Mailing Address - Phone:336-766-0505
Mailing Address - Fax:336-766-0553
Practice Address - Street 1:2255 E LEWISVILLE CLEMMONS RD
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-7460
Practice Address - Country:US
Practice Address - Phone:336-766-0505
Practice Address - Fax:336-766-0153
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC203474363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health