Provider Demographics
NPI:1508996091
Name:MORGAN, SALLY W (NP)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:W
Last Name:MORGAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:410 W 10TH AVE
Mailing Address - Street 2:S761 RHODES
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1240
Mailing Address - Country:US
Mailing Address - Phone:614-293-7286
Mailing Address - Fax:614-293-9037
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:S761 RHODES HALL, OSU MEDICAL CENTER
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-7286
Practice Address - Fax:614-293-9037
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2017-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH153460363LA2200X
OHAPRNCNP02235363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health