Healthcare Provider Details

I. General information

NPI: 1427729656
Provider Name (Legal Business Name): MEAGAN MICHELLE HOEFLING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEAGAN MICHELLE MORGAN FNP

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 STARLITE DR
HENDERSON KY
42420-6102
US

IV. Provider business mailing address

340 STARLITE DR
HENDERSON KY
42420-6102
US

V. Phone/Fax

Practice location:
  • Phone: 270-215-3150
  • Fax: 270-844-8183
Mailing address:
  • Phone: 270-215-3150
  • Fax: 270-844-8183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71011656
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: