Healthcare Provider Details

I. General information

NPI: 1225982739
Provider Name (Legal Business Name): MORGAN ALEXANDRA TAKACS DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 N GREEN MOUNT RD STE 240
O FALLON IL
62269-3494
US

IV. Provider business mailing address

416 DUFFY DR
MARINE IL
62061-4400
US

V. Phone/Fax

Practice location:
  • Phone: 618-632-9000
  • Fax:
Mailing address:
  • Phone: 410-814-9346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026001361
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209034509
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: