Healthcare Provider Details

I. General information

NPI: 1629459409
Provider Name (Legal Business Name): JANICE MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 S MAIN ST
LONDON KY
40741-1529
US

IV. Provider business mailing address

1102 S MAIN ST
LONDON KY
40741-1529
US

V. Phone/Fax

Practice location:
  • Phone: 606-770-5121
  • Fax: 606-770-5199
Mailing address:
  • Phone: 606-770-5121
  • Fax: 606-770-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3009430
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: