Healthcare Provider Details
I. General information
NPI: 1588942544
Provider Name (Legal Business Name): MORGAN BURNS ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/25/2011
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4131 NW 28TH LN STE 4
GAINESVILLE FL
32606-6681
US
IV. Provider business mailing address
616 FAULKNER ST
NEW SMYRNA BEACH FL
32168-6422
US
V. Phone/Fax
- Phone: 352-681-9652
- Fax: 386-243-7293
- Phone: 386-871-5528
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | APRN11017077 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | 11017077 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: