Provider Demographics
NPI:1407807290
Name:MORGAN, ELIZABETH JEANNETTE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:JEANNETTE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:SUITE 100 ATTN:CREDENTIALING
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-799-0046
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:15211 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-6072
Practice Address - Country:US
Practice Address - Phone:352-345-4565
Practice Address - Fax:352-596-6051
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1838022163WX0200X
FLARNP1838022364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00035154OtherRAILROAD MEDICARE
FL304645100Medicaid
FLY0390VMedicare PIN
FL304645100Medicaid
FLP00035154OtherRAILROAD MEDICARE
FLY0390TMedicare PIN