Provider Demographics
NPI:1346988706
Name:SUGGS, MORGAN KILLEN (NP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:KILLEN
Last Name:SUGGS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3169 COUNTY ROAD 69
Mailing Address - Street 2:
Mailing Address - City:KILLEN
Mailing Address - State:AL
Mailing Address - Zip Code:35645-7516
Mailing Address - Country:US
Mailing Address - Phone:256-394-5911
Mailing Address - Fax:
Practice Address - Street 1:970 COX CREEK PKWY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-1631
Practice Address - Country:US
Practice Address - Phone:256-760-1655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-176304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily