Healthcare Provider Details

I. General information

NPI: 1720148570
Provider Name (Legal Business Name): JOHN PIERCE MORGAN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARION CORRECTIONAL INSTITUTION 355 OLD GLENWOOD RD
MARION NC
28752
US

IV. Provider business mailing address

20 EASTERLY LN
FLETCHER NC
28732-6644
US

V. Phone/Fax

Practice location:
  • Phone: 828-659-7810
  • Fax:
Mailing address:
  • Phone: 828-651-9755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number300222
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: