Provider Demographics
NPI:1174035505
Name:MORGAN, KIMBERLY ARMSTRONG (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ARMSTRONG
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 SHADY GREENS DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31211-6121
Mailing Address - Country:US
Mailing Address - Phone:478-718-0454
Mailing Address - Fax:
Practice Address - Street 1:380 HOSPITAL DR STE 100
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-8005
Practice Address - Country:US
Practice Address - Phone:478-743-4646
Practice Address - Fax:478-742-5549
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN111903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily