Provider Demographics
NPI:1548707409
Name:SIMPSON, MORGAN W (FNP-C)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:W
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2569 N. WASHINGTON AVE.
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38012-1610
Mailing Address - Country:US
Mailing Address - Phone:731-772-4411
Mailing Address - Fax:731-772-2664
Practice Address - Street 1:CLAREY. R. DOWLING M.D.P.C.
Practice Address - Street 2:2569 N. WASHINGTON AVE.
Practice Address - City:BROWNSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38012-1610
Practice Address - Country:US
Practice Address - Phone:731-772-4411
Practice Address - Fax:731-772-2664
Is Sole Proprietor?:No
Enumeration Date:2017-01-30
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN22114363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ026950Medicaid