Healthcare Provider Details

I. General information

NPI: 1003531229
Provider Name (Legal Business Name): CHRISTINA NICOLE MORGAN PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 SATELLITE BLVD NW BLDG 400500
SUWANEE GA
30024-4651
US

IV. Provider business mailing address

188 FELDSPAR DR
JEFFERSON GA
30549-8225
US

V. Phone/Fax

Practice location:
  • Phone: 678-263-3080
  • Fax:
Mailing address:
  • Phone: 706-621-1772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN241608
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: