MEDICARE: LYNSEY DANAE MORGAN

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	207P00000X	Emergency Medicine Physician	26616	TN
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	26616	TN
3	363LF0000X	Family Nurse Practitioner	26616	TN

General Provider Information

NPI Number	:	1568013266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNSEY DANAE MORGAN

Provider Business Mailing Address
First Line	:	2484 SUGAR GROVE RD
Second Line	:
City	:	PIONEER
State	:	TN
Zip	:	37847-2204
Country	:	US
Telephone Number	:	423-223-4409
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 MARYLAND WAY STE 300
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7516
Country	:	US
Telephone Number	:	855-246-8607
Fax Number	:

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

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	03/22/2023

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Directions to “ LYNSEY DANAE MORGAN ” Practice Location

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