Individual
STACEY LEE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
51 N DUNLAP ST STE 400, MEMPHIS, TN 38105-4625
(901) 287-7337
(901) 287-4820
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
(901) 287-8693
(901) 287-6804
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19178
TN
363LP0200X
Pediatric Nurse Practitioner
2011010844
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021558
—
TN
Enumeration date
05/25/2011
Last updated
03/09/2020
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