Provider Demographics
NPI:1003956228
Name:MORGAN, KATHERINE H (FNP)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:H
Last Name:MORGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1200 VOLUNTEER BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37996-4180
Mailing Address - Country:US
Mailing Address - Phone:865-974-8793
Mailing Address - Fax:865-974-3569
Practice Address - Street 1:220 LANGLAND ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37915-1415
Practice Address - Country:US
Practice Address - Phone:865-594-5078
Practice Address - Fax:865-594-3921
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN150785363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3341110Medicare PIN