Provider Demographics
NPI:1669589123
Name:MORGAN, HILLARY LISSORN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:LISSORN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:907 N PARSONS AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-3107
Mailing Address - Country:US
Mailing Address - Phone:813-689-8020
Mailing Address - Fax:813-689-8381
Practice Address - Street 1:11710 E US HIGHWAY 92
Practice Address - Street 2:SUITE B
Practice Address - City:SEFFNER
Practice Address - State:FL
Practice Address - Zip Code:33584-3476
Practice Address - Country:US
Practice Address - Phone:813-689-8020
Practice Address - Fax:813-689-8381
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2018-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2750432363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL305845000Medicaid