Healthcare Provider Details

I. General information

NPI: 1306311832
Provider Name (Legal Business Name): STEPHANIE JOHNSON MORRIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 TELFAIR ST
AUGUSTA GA
30901-2590
US

IV. Provider business mailing address

PO BOX 31164
AUGUSTA GA
30903-2964
US

V. Phone/Fax

Practice location:
  • Phone: 706-922-0600
  • Fax:
Mailing address:
  • Phone: 706-922-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN223224
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number22157
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: