Healthcare Provider Details

I. General information

NPI: 1487525127
Provider Name (Legal Business Name): MORGAN DANIELLE GAINES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 10/24/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 LLOYD ST
CARRBORO NC
27510-1823
US

IV. Provider business mailing address

301 LLOYD ST
CARRBORO NC
27510-1823
US

V. Phone/Fax

Practice location:
  • Phone: 919-942-8741
  • Fax: 919-942-1473
Mailing address:
  • Phone: 919-942-8741
  • Fax: 919-942-1473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023065
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: