Healthcare Provider Details

I. General information

NPI: 1205749553
Provider Name (Legal Business Name): JEANNA MORGAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 CHAMBLISS AVE NW
CLEVELAND TN
37311-3847
US

IV. Provider business mailing address

2623 VANCE DR NW
CLEVELAND TN
37312-1946
US

V. Phone/Fax

Practice location:
  • Phone: 423-559-6290
  • Fax:
Mailing address:
  • Phone: 865-202-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number244745
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: