Healthcare Provider Details

I. General information

NPI: 1528579836
Provider Name (Legal Business Name): MORGAN PLAISANCE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2017
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TARA OAK DR
CARENCRO LA
70520-5776
US

IV. Provider business mailing address

100 TARA OAK DR
CARENCRO LA
70520-5776
US

V. Phone/Fax

Practice location:
  • Phone: 337-692-0187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09563
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPO9563
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: