Healthcare Provider Details

I. General information

NPI: 1275216426
Provider Name (Legal Business Name): LISA GAYE TAMIKA MORGAN DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13127 VAIL RIDGE DR
RIVERVIEW FL
33579-7196
US

IV. Provider business mailing address

4450 E FLETCHER AVE STE C
TAMPA FL
33613-4907
US

V. Phone/Fax

Practice location:
  • Phone: 813-661-6199
  • Fax: 813-661-6334
Mailing address:
  • Phone: 813-975-2800
  • Fax: 813-977-7924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11027818
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11027818
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: