Healthcare Provider Details

I. General information

NPI: 1093782773
Provider Name (Legal Business Name): BRIGID Q MORGAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ORANGEBURG AVE STE 300
MODESTO CA
95355-3971
US

IV. Provider business mailing address

310 HOSPITAL AVE
JEFFERSON NC
28643
US

V. Phone/Fax

Practice location:
  • Phone: 209-724-6000
  • Fax:
Mailing address:
  • Phone: 366-846-6322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2608
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number64462
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: