MEDICARE: JUDDY MORGAN CRNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R205805	MD
2	363LF0000X	Family Nurse Practitioner	ARNP 9241682	FL
3	363LF0000X	Family Nurse Practitioner	CRNP205805	MD
4	163W00000X	Registered Nurse	RN 9241682	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528253002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDDY MORGAN CRNP

Provider Business Mailing Address
First Line	:	451 N HUNGERFORD DR. STE 119 RM 114
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-5664
Country	:	US
Telephone Number	:	443-978-1330
Fax Number	:

Provider Business Practice Location Address
First Line	:	9037 SHADY GROVE CT
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1301
Country	:	US
Telephone Number	:	443-978-1330
Fax Number	:	240-306-9325

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

Provider Enumeration Date	:	09/07/2007
Last Update Date	:	03/02/2026

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Directions to “ JUDDY MORGAN CRNP” Practice Location

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