MEDICARE: MORGAN PAIGE CLICK 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	390200000X	Student in an Organized Health Care Education/Training Program
2	363LF0000X	Family Nurse Practitioner	1071891	TX

General Provider Information

NPI Number	:	1316538994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN PAIGE CLICK FNP-C

Provider Business Mailing Address
First Line	:	8144 WALNUT HILL LN STE 1350
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4335
Country	:	US
Telephone Number	:	972-598-0000
Fax Number	:	972-598-0019

Provider Business Practice Location Address
First Line	:	8144 WALNUT HILL LN STE 1350
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4335
Country	:	US
Telephone Number	:	972-598-0000
Fax Number	:	972-598-0019

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

Provider Enumeration Date	:	01/27/2021
Last Update Date	:	06/12/2023

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