Provider Demographics
NPI:1558926899
Name:MORGAN, KAREN ANN (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 OKATIE CENTER BLVD S STE 101
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7555
Mailing Address - Country:US
Mailing Address - Phone:843-836-3800
Mailing Address - Fax:
Practice Address - Street 1:14 OKATIE CENTER BLVD S STE 101
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-7555
Practice Address - Country:US
Practice Address - Phone:843-836-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN106351363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty