Healthcare Provider Details

I. General information

NPI: 1669954343
Provider Name (Legal Business Name): MORGAN TAYLOR MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR HINKLE

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 N BRINDLEE MOUNTAIN PKWY STE A-1
ARAB AL
35016-5431
US

IV. Provider business mailing address

1500 1ST AVE N UNIT 3
BIRMINGHAM AL
35203-1866
US

V. Phone/Fax

Practice location:
  • Phone: 256-677-4553
  • Fax:
Mailing address:
  • Phone: 205-545-5097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-150229
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: