Healthcare Provider Details

I. General information

NPI: 1841941465
Provider Name (Legal Business Name): RAISA ZAPANTA MORGAN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2022
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1348 WALTON WAY STE 6700
AUGUSTA GA
30901-5111
US

IV. Provider business mailing address

2062 WHISKEY RD
AIKEN SC
29803-6183
US

V. Phone/Fax

Practice location:
  • Phone: 706-774-7855
  • Fax: 706-774-8620
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number25709
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN223969
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: