Individual
MRS. MORGAN NICOLE EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
112 W JEFFERSON BLVD, SUITE 600, SOUTH BEND, IN 46601-1923
(888) 403-7246
Mailing address
112 W JEFFERSON BLVD, SUITE 600, SOUTH BEND, IN 46601-1923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293688
MI
363L00000X
Nurse Practitioner
Primary
4704293688
MI
363LA2200X
Adult Health Nurse Practitioner
4704293688
MI
Other
Enumeration date
10/27/2015
Last updated
03/31/2026
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