Healthcare Provider Details

I. General information

NPI: 1104427251
Provider Name (Legal Business Name): MORGAN ELIZABETH GILBERT DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN ELIZABETH CONLON BSN, RN

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

514 NW 39TH RD UNIT 501
GAINESVILLE FL
32607-2558
US

V. Phone/Fax

Practice location:
  • Phone: 352-294-5252
  • Fax: 352-294-8068
Mailing address:
  • Phone: 772-341-3376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11010064
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: