Doctor Name: | LISA D MORGAN |
NPI Number: | 1487631461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | R763321 |
Business Practice Address: | 805 Hall St Wiggins, MS - 395772110 |
Business Phone Number: | 6019284412 |
Business Fax Number: | 6019284792 |
Mailing Address: | 415 S 28th Ave, HATTIESBURG |
State: | MS |
Postal Code: | 394017246 |
Phone Number: | 6015795463 |
Fax Number: | 6015795240 |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 10/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R763321 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |