Doctor Name: | JOHN ANGUS MORGAN |
NPI Number: | 1023363066 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0001144758 |
Business Practice Address: | 100 Brewster Blvd Naval Hospital Camp Lejeune, NC - 285472538 |
Business Phone Number: | 9104504159 |
Business Fax Number: | 9104504194 |
Mailing Address: | 100 Brewster Blvd, Naval Hospital CAMP LEJEUNE |
State: | NC |
Postal Code: | 285472538 |
Phone Number: | 9104504159 |
Fax Number: | 9104504194 |
NPI Enumeration Date: | 07/16/2012 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 0001144758 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |