Provider Demographics
NPI:1629835012
Name:JAFFRAY, MORGAN DANIELLE (RN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:DANIELLE
Last Name:JAFFRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:DANIELLE
Other - Last Name:JAFFRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MORGAN SMITH
Mailing Address - Street 1:3240 SE 12TH ST UNIT 1034
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-3890
Mailing Address - Country:US
Mailing Address - Phone:407-756-9592
Mailing Address - Fax:
Practice Address - Street 1:202 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-4939
Practice Address - Country:US
Practice Address - Phone:407-756-9592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60911158163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse