Provider Demographics
NPI:1417297219
Name:RAGLAND, MORGAN H (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:H
Last Name:RAGLAND
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:L
Other - Last Name:HATCHETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:2784 LOFTVIEW SQ
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4926
Mailing Address - Country:US
Mailing Address - Phone:901-230-0581
Mailing Address - Fax:
Practice Address - Street 1:2001 PEACHTREE RD NE STE 575
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1476
Practice Address - Country:US
Practice Address - Phone:404-350-0106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129378/RN 883776363L00000X
GARN293474363L00000X, 363LF0000X
NY337779363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX351913401Medicaid
TX455666YKQHMedicare PIN