=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316743461
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MORGAN BUNKER APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2025
-----------------------------------------------------
Last Update Date | 08/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 245 FOUNTAIN CT STE 225
-----------------------------------------------------
City | LEXINGTON
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40509-2794
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-323-6021
-----------------------------------------------------
Fax | 859-323-1670
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 BLACK HAWK CIR
-----------------------------------------------------
City | VERSAILLES
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 40383-9001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 859-629-0822
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 4027046
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------