Healthcare Provider Details

I. General information

NPI: 1831540483
Provider Name (Legal Business Name): SHELLEY LINDA MORGAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 E 85TH ST FL 2
BROOKLYN NY
11236-4926
US

IV. Provider business mailing address

1260 E 85TH ST
BROOKLYN NY
11236-4926
US

V. Phone/Fax

Practice location:
  • Phone: 678-200-5267
  • Fax: 347-374-3201
Mailing address:
  • Phone: 678-200-5267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN34019-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number258330
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: