Provider Demographics
NPI:1770031593
Name:MORGAN, SUMMER D (NP)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:D
Last Name:MORGAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:D
Other - Last Name:ABTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:100 MERCY WAY STE 510
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-4524
Mailing Address - Country:US
Mailing Address - Phone:417-623-6056
Mailing Address - Fax:417-556-8331
Practice Address - Street 1:100 MERCY WAY STE 510
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-4524
Practice Address - Country:US
Practice Address - Phone:417-347-4000
Practice Address - Fax:417-347-4064
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO155319163W00000X, 363L00000X
MO2016034608363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse