Provider Demographics
NPI:1427811959
Name:COLVIN, MORGAN LAYSSARD (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LAYSSARD
Last Name:COLVIN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 LAFAYETTE 68
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:AR
Mailing Address - Zip Code:71861-8730
Mailing Address - Country:US
Mailing Address - Phone:318-455-2184
Mailing Address - Fax:
Practice Address - Street 1:557 LAFAYETTE 68
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:AR
Practice Address - Zip Code:71861-8730
Practice Address - Country:US
Practice Address - Phone:318-455-2184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR227642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily