Healthcare Provider Details

I. General information

NPI: 1417423286
Provider Name (Legal Business Name): MORGAN WHITE MCEWIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN ELIZABETH WHITE NP

II. Dates (important events)

Enumeration Date: 10/19/2018
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HOSPITAL DR
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

PO BOX 843966
KANSAS CITY MO
64184-3966
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-3278
  • Fax: 573-884-1351
Mailing address:
  • Phone: 573-884-3300
  • Fax: 573-884-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2018038301
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2024041996
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: