Provider Demographics
NPI:1760840581
Name:MORGAN, JESS (FNP)
Entity Type:Individual
Prefix:
First Name:JESS
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8160 W UNION HILLS DR STE 103-13
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-8130
Mailing Address - Country:US
Mailing Address - Phone:623-259-6900
Mailing Address - Fax:623-259-6959
Practice Address - Street 1:8160 W UNION HILLS DR STE 103-13
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8130
Practice Address - Country:US
Practice Address - Phone:623-259-6900
Practice Address - Fax:623-259-6959
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2024-01-16
Deactivation Date:2023-12-11
Deactivation Code:
Reactivation Date:2023-12-28
Provider Licenses
StateLicense IDTaxonomies
AZAP8451363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily