Healthcare Provider Details

I. General information

NPI: 1598671224
Provider Name (Legal Business Name): KERILYN MORGAN PNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 40TH ST APT 18P
NEW YORK NY
10016-2152
US

IV. Provider business mailing address

300 E 40TH ST APT 18P
NEW YORK NY
10016-2152
US

V. Phone/Fax

Practice location:
  • Phone: 646-406-7947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number383949
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: