Provider Demographics
NPI:1831861343
Name:MORGAN, JENNA BARRATT (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:BARRATT
Last Name:MORGAN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N STATE ST APT 2205
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4907
Mailing Address - Country:US
Mailing Address - Phone:404-435-4538
Mailing Address - Fax:
Practice Address - Street 1:625 N MICHIGAN AVE STE 1810
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4592
Practice Address - Country:US
Practice Address - Phone:872-310-3920
Practice Address - Fax:872-250-8607
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-03
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN237462363LW0102X
IL209.026115363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty