Healthcare Provider Details

I. General information

NPI: 1992634570
Provider Name (Legal Business Name): MORGAN JUSTICE FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN JUSTICE ZACHARIAS

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4998 CHERRYBLUFF CT
GAHANNA OH
43230-4544
US

IV. Provider business mailing address

4998 CHERRYBLUFF CT
GAHANNA OH
43230-4544
US

V. Phone/Fax

Practice location:
  • Phone: 815-739-8728
  • Fax:
Mailing address:
  • Phone: 815-739-8728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.0019739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: