Individual
MRS. KETTELENE PHILOGENE MCMORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
1860 SW FOUNTAINVIEW BLVD STE 100, PORT SAINT LUCIE, FL 34986-4528
(754) 366-1406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9309679
FL
363L00000X
Nurse Practitioner
10057847
OR
363L00000X
Nurse Practitioner
118367-23
NH
363L00000X
Nurse Practitioner
17052
CT
363L00000X
Nurse Practitioner
26NJ14912700
NJ
363L00000X
Nurse Practitioner
277.005077
IL
363L00000X
Nurse Practitioner
40756
TN
363L00000X
Nurse Practitioner
4704451405
MI
363L00000X
Nurse Practitioner
5023205
NC
363L00000X
Nurse Practitioner
88570
NM
363L00000X
Nurse Practitioner
C-APN-0004597-C-NP
CO
363L00000X
Nurse Practitioner
Primary
RN2374100
MA
363LF0000X
Family Nurse Practitioner
350474
NY
363LF0000X
Family Nurse Practitioner
APRN11007657
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11007657
FL
Other
Enumeration date
06/26/2020
Last updated
07/25/2026
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