Healthcare Provider Details

I. General information

NPI: 1003267402
Provider Name (Legal Business Name): SHERRA MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRA COFFEY

II. Dates (important events)

Enumeration Date: 06/27/2016
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 STACY LANE RD
IRVINE KY
40336-7356
US

IV. Provider business mailing address

1010 MAIN ST S
MC KEE KY
40447-7089
US

V. Phone/Fax

Practice location:
  • Phone: 606-723-0665
  • Fax: 606-723-0680
Mailing address:
  • Phone: 859-626-7700
  • Fax: 859-626-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3010368
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: