Provider Demographics
NPI:1659926590
Name:MORGAN, AMANDA GAIL (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:GAIL
Last Name:MORGAN
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6010 W. AMARILLO BLVD
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106
Mailing Address - Country:US
Mailing Address - Phone:806-349-5641
Mailing Address - Fax:806-337-1036
Practice Address - Street 1:6010 W. AMARILLO BLVD
Practice Address - Street 2:BLD 44
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-355-9703
Practice Address - Fax:806-468-1523
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-07
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health