Provider Demographics
NPI:1952029183
Name:JOHNS, MORGAN LILY
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LILY
Last Name:JOHNS
Suffix:
Gender:F
Credentials:
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 217
Mailing Address - Street 2:
Mailing Address - City:SURREY
Mailing Address - State:ND
Mailing Address - Zip Code:58785-0217
Mailing Address - Country:US
Mailing Address - Phone:701-500-5296
Mailing Address - Fax:
Practice Address - Street 1:101 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:SURREY
Practice Address - State:ND
Practice Address - Zip Code:58785-8010
Practice Address - Country:US
Practice Address - Phone:701-500-5296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker