Healthcare Provider Details

I. General information

NPI: 1942123583
Provider Name (Legal Business Name): MORGAN ELIZABETH ASHBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORGAN ANDERSON FNP-C

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 N EDWARD ST
DECATUR IL
62526-4192
US

IV. Provider business mailing address

2300 N EDWARD ST
DECATUR IL
62526-4192
US

V. Phone/Fax

Practice location:
  • Phone: 217-876-4440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209036239
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: