Individual
LISA D MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0001
(601) 266-6087
Mailing address
PO BOX 152, PURVIS, MS 39475-0152
(228) 669-2700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R763321
MS
363LF0000X
Family Nurse Practitioner
R763321
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05788218
—
MS
01
—
11740143
CAQH ID NUMBER
MS
Enumeration date
12/29/2005
Last updated
03/08/2026
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