Provider Demographics
NPI:1316183148
Name:MORGAN, WINDLE HOGUE (MSN)
Entity Type:Individual
Prefix:MR
First Name:WINDLE
Middle Name:HOGUE
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 MADISON ST
Mailing Address - Street 2:STE 103
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-3660
Mailing Address - Country:US
Mailing Address - Phone:615-860-0808
Mailing Address - Fax:
Practice Address - Street 1:223 MADISON ST
Practice Address - Street 2:STE 103
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-3660
Practice Address - Country:US
Practice Address - Phone:615-860-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13885363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health