Healthcare Provider Details

I. General information

NPI: 1356778534
Provider Name (Legal Business Name): DELISA R MORGAN APRN/CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 N HARVILLE RD
DUNCAN OK
73533-1514
US

IV. Provider business mailing address

2210 DUNCAN REGIONAL LOOP
DUNCAN OK
73533-1564
US

V. Phone/Fax

Practice location:
  • Phone: 580-252-1373
  • Fax:
Mailing address:
  • Phone: 580-251-6657
  • Fax: 580-251-8898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number92834
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: