Healthcare Provider Details

I. General information

NPI: 1265112213
Provider Name (Legal Business Name): ALEXIS ANN MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 US HIGHWAY 441 SE
OKEECHOBEE FL
34974-9502
US

IV. Provider business mailing address

6315 US HIGHWAY 441 SE STE 1
OKEECHOBEE FL
34974-9502
US

V. Phone/Fax

Practice location:
  • Phone: 863-763-2151
  • Fax:
Mailing address:
  • Phone: 863-462-2521
  • Fax: 276-258-0902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9515913
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11028448
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: