MEDICARE: MORGAN MICHELLE ACKERMAN NP

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
1	363L00000X	Nurse Practitioner	2022030386	MO

General Provider Information

NPI Number	:	1811625676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN MICHELLE ACKERMAN NP

Provider Business Mailing Address
First Line	:	124 CHESTERFIELD TOWNE CTR
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1230
Country	:	US
Telephone Number	:	314-254-2400
Fax Number	:	314-787-2141

Provider Business Practice Location Address
First Line	:	124 CHESTERFIELD TOWNE CTR
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1230
Country	:	US
Telephone Number	:	314-254-2400
Fax Number	:	314-787-2141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	01/09/2026

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