Provider Demographics
NPI:1740673557
Name:MORGAN, NATALIE MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841656
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1656
Mailing Address - Country:US
Mailing Address - Phone:903-531-5000
Mailing Address - Fax:
Practice Address - Street 1:2026 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-5822
Practice Address - Country:US
Practice Address - Phone:903-586-5678
Practice Address - Fax:903-541-4679
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8120NPOtherBCBS
TX398336YMAFOtherMEDICARE
TX398336YS6VOtherMEDICARE
TXP01967487OtherMEDICARE RAIL ROAD
TX8HS464OtherBCBS
TX75-2616977-129OtherTRICARE
TXP01454906OtherRAIL ROAD MEDICARE
TX75-1976930-005OtherTRICARE
TX75-2616977-120OtherTRICARE
TX344777301Medicaid
TX344777302Medicaid