Healthcare Provider Details

I. General information

NPI: 1497667018
Provider Name (Legal Business Name): STEPHANIE MARIE MORGAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16446 PINWHENNY RD
CORNELIUS NC
28031-7697
US

IV. Provider business mailing address

16446 PINWHENNY RD
CORNELIUS NC
28031-7697
US

V. Phone/Fax

Practice location:
  • Phone: 949-463-2207
  • Fax:
Mailing address:
  • Phone: 949-463-2207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberMORG-R2IR1
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: