Healthcare Provider Details

I. General information

NPI: 1598435844
Provider Name (Legal Business Name): VIRGINIA MORGAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 W GRAPEVINE MILLS CIR
GRAPEVINE TX
76051-2096
US

IV. Provider business mailing address

2805 GOLDEN MEADOW AVE
MESQUITE TX
75181-2148
US

V. Phone/Fax

Practice location:
  • Phone: 916-218-5639
  • Fax:
Mailing address:
  • Phone: 916-218-5639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1230760
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: