Provider Demographics
NPI:1043761331
Name:MORGAN, DANA MARIE (FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:MARIE
Last Name:MORGAN
Suffix:
Gender:
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 ALICE ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-4533
Mailing Address - Country:US
Mailing Address - Phone:912-550-8892
Mailing Address - Fax:
Practice Address - Street 1:1610 ALICE ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-4533
Practice Address - Country:US
Practice Address - Phone:912-584-3263
Practice Address - Fax:912-809-2296
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN197511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily