Healthcare Provider Details

I. General information

NPI: 1255816062
Provider Name (Legal Business Name): MORGAN L SCOTT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN L SEARCY RN

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 08/16/2021
Certification Date: 07/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 OLD WARREN RD.
MONTICELLO AR
71655-5729
US

IV. Provider business mailing address

940 OLD WARREN RD
MONTICELLO AR
71655-5729
US

V. Phone/Fax

Practice location:
  • Phone: 870-723-1655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberR101339
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number216423
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: