Healthcare Provider Details

I. General information

NPI: 1548982226
Provider Name (Legal Business Name): CHRISTINA MICHELE MORGAN RN, CWOCN, CFCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VETERANS AVE
BILOXI MS
39531-2410
US

IV. Provider business mailing address

13120 SWEETBRIAR ST
OCEAN SPRINGS MS
39564-7410
US

V. Phone/Fax

Practice location:
  • Phone: 228-523-5191
  • Fax:
Mailing address:
  • Phone: 228-243-6745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License Number883658
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code163WE0900X
TaxonomyEnterostomal Therapy Registered Nurse
License Number883658
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number883658
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number883658
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: