Healthcare Provider Details

I. General information

NPI: 1558315317
Provider Name (Legal Business Name): STEPHANIE S MORGAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W LOUIS HENNA BLVD STE 100
AUSTIN TX
78728-1702
US

IV. Provider business mailing address

348 FOREST LAKE DR
DEL VALLE TX
78617-5668
US

V. Phone/Fax

Practice location:
  • Phone: 855-481-8375
  • Fax:
Mailing address:
  • Phone: 512-983-7521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR43806
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number566449
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: