Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 3010368 | KY |
NPI | 1003267402 |
---|---|
Provider Name | Sherra Morgan |
First Address | Mc Kee, KY 40447-7089 |
Second Address | Irvine, KY 40336-7356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2016 |
Last Update Date | 04/09/2019 |