Provider Demographics
NPI:1578277117
Name:FREEMAN, MORGAN ASHLEY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ASHLEY
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:ASHLEY
Other - Last Name:FARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2494 SW 19TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7859
Mailing Address - Country:US
Mailing Address - Phone:352-671-4422
Mailing Address - Fax:
Practice Address - Street 1:2494 SW 19TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7859
Practice Address - Country:US
Practice Address - Phone:352-671-4422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023866363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner