MEDICARE: MRS. MORGAN SHORT HOWARD FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5020915	NC
2	363LF0000X	Family Nurse Practitioner	RN266063	GA

General Provider Information

NPI Number	:	1194438432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MORGAN SHORT HOWARD FNP-C

Provider Business Mailing Address
First Line	:	2605 GREEN MEADOW DR
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-7406
Country	:	US
Telephone Number	:	877-685-5886
Fax Number	:

Provider Business Practice Location Address
First Line	:	2605 GREEN MEADOW DR
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28052-7406
Country	:	US
Telephone Number	:	877-685-5886
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2023
Last Update Date	:	01/19/2026

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