Provider Demographics
NPI:1598554792
Name:CALVERT, MORGAN LASHAY (RN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LASHAY
Last Name:CALVERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ALLYE AVE
Mailing Address - Street 2:
Mailing Address - City:MOOREVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38857-6008
Mailing Address - Country:US
Mailing Address - Phone:662-646-0787
Mailing Address - Fax:
Practice Address - Street 1:206 BEXAR AVE E
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570-4013
Practice Address - Country:US
Practice Address - Phone:205-921-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS902089163WC0200X
AL3-002521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine