Provider Demographics
NPI:1063866341
Name:STOREY, MORGAN ANN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ANN
Last Name:STOREY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:ANN
Other - Last Name:ROOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 23410
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72221-3410
Mailing Address - Country:US
Mailing Address - Phone:501-224-1690
Mailing Address - Fax:
Practice Address - Street 1:5 SAINT VINCENT CIR STE 300
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5417
Practice Address - Country:US
Practice Address - Phone:501-552-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily