Provider Demographics
NPI:1912653437
Name:CECIL, MORGAN RENAE (APRN)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:RENAE
Last Name:CECIL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:RENEA
Other - Last Name:MCCUBBINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-417-7800
Mailing Address - Fax:270-417-7809
Practice Address - Street 1:1301 PLEASANT VALLEY RD STE 401
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-9774
Practice Address - Country:US
Practice Address - Phone:270-417-7800
Practice Address - Fax:270-417-7809
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3017414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily