Provider Demographics
NPI:1568416550
Name:MORGAN, DEBRA J BUCKLE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:J BUCKLE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 N HORSESHOE CIR
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-8657
Mailing Address - Country:US
Mailing Address - Phone:816-225-5387
Mailing Address - Fax:
Practice Address - Street 1:9791 N CEDAR AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-6208
Practice Address - Country:US
Practice Address - Phone:816-415-8855
Practice Address - Fax:816-415-8826
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO122215363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO597780303OtherRH MEDICAID-NURSE PRACTIT
MO1568416550Medicaid
MO428750509Medicaid
MO1447412770OtherRH MEDICAID - NURSE PRACTITIONER
MO268630Medicare Oscar/Certification
MO268535Medicare Oscar/Certification
MO821292169Medicare PIN
MO1568416550Medicaid