Physician Compare National (NPI:1396254488)

HEALTHCARE PROVIDER: AMY DIANE MORGAN ARNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396254488
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911261334
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180510000695
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORGAN
	Individual professional last name
Provider First Name	AMY
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3301 SW 34TH CIR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	OCALA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	344746615
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y