Individual
MORGAN NICOLE SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4000
Mailing address
600 HOMELAND RD, MATTESON, IL 60443-1781
(708) 509-8381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209024178
IL
363LF0000X
Family Nurse Practitioner
Primary
71013634A
IN
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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