Individual provider · Type 1 NPI

Morgan Nicole Edmonds, AGPCNP-BC

Nurse Practitioner · South Bend, IN

NPI number 1265804488 Active

Practice location

112 W Jefferson Blvd, Suite 600
South Bend, IN 46601-1923

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4704293688 (MI)
Adult Health Nurse Practitioner	363LA2200X	4704293688 (MI)
Registered Nurse	163W00000X	4704293688 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265804488

Morgan Nicole Edmonds, AGPCNP-BC's National Provider Identifier is 1265804488, issued on Oct 27, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Bend, IN. The record was last updated on Mar 31, 2026.