Provider Demographics
NPI:1235782129
Name:MORGAN, ABIGAIL JEANNE (RN-BC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JEANNE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RN-BC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:JEANNE
Other - Last Name:MARCUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-BC
Mailing Address - Street 1:3285 FERGUSON ST SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512
Mailing Address - Country:US
Mailing Address - Phone:360-943-1907
Mailing Address - Fax:360-943-1912
Practice Address - Street 1:3285 FERGUSON ST SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512
Practice Address - Country:US
Practice Address - Phone:360-943-1907
Practice Address - Fax:360-943-1912
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60361489163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult