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NPI Code Detail

MEDICARE: MORGAN PROFFITT

MEDICARE: MORGAN PROFFITT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5024585NC
2163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse356675NC

General Provider Information

NPI Number : 1275413320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN PROFFITT
Provider Business Mailing Address
First Line : 1748 HERITAGE CENTER DR STE 101
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9855
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1748 HERITAGE CENTER DR STE 101
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9855
Country : US
Telephone Number : 919-529-5920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 06/02/2026

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Directions to “ MORGAN PROFFITT ” Practice Location

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