Provider Demographics
NPI:1720460736
Name:MORGAN, CHERYL (DNP, APRN,FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DNP, APRN,FNP-BC
Other - Prefix:DR
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, APRN, FNP-BC
Mailing Address - Street 1:513 WATERSIDE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568-1623
Mailing Address - Country:US
Mailing Address - Phone:956-789-2985
Mailing Address - Fax:
Practice Address - Street 1:10,000 EMMETT F. LOWRY, SUITE 4000,UNIT 200D, EXECUTIVE
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-7759
Practice Address - Country:US
Practice Address - Phone:713-393-7641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9323965363LF0000X
TXAP133405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016044000Medicaid