Doctor Name: | JACKIE L MORGAN |
NPI Number: | 1003216045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN187630 |
Business Practice Address: | 4704 Augusta Rd Garden City, GA - 314081758 |
Business Phone Number: | 9129644326 |
Business Fax Number: | |
Mailing Address: | 4704 Augusta Rd, GARDEN CITY |
State: | GA |
Postal Code: | 314081758 |
Phone Number: | 9129644326 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN187630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |