Provider Demographics
NPI:1609342039
Name:CAMPBELL, MORGAN ROGERS (FNP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ROGERS
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NMRTC NEW ENGLAND
Mailing Address - Street 2:43 SMITH ROAD
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02841
Mailing Address - Country:US
Mailing Address - Phone:401-841-6110
Mailing Address - Fax:
Practice Address - Street 1:NMRTC NEW ENGLAND
Practice Address - Street 2:43 SMITH ROAD
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02841
Practice Address - Country:US
Practice Address - Phone:401-841-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily