Provider Demographics
NPI:1932855517
Name:KELLEY, MORGAN JULIA (NURSE PRATITIONER)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:JULIA
Last Name:KELLEY
Suffix:
Gender:F
Credentials:NURSE PRATITIONER
Other - Prefix:MRS
Other - First Name:MORGAN
Other - Middle Name:JULIA
Other - Last Name:STRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3830 COUNTY ROAD 259
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-4480
Mailing Address - Country:US
Mailing Address - Phone:256-740-2254
Mailing Address - Fax:
Practice Address - Street 1:1701 VETERANS DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4928
Practice Address - Country:US
Practice Address - Phone:256-629-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-129506363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner