MEDICARE: MORGAN FISHER WOODRUFF

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	363LG0600X	Gerontology Nurse Practitioner	WOOD-W2M8J	NC

General Provider Information

NPI Number	:	1730891466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN FISHER WOODRUFF

Provider Business Mailing Address
First Line	:	1016 GARRIS CREEK LN NE
Second Line	:
City	:	WINNABOW
State	:	NC
Zip	:	28479-2501
Country	:	US
Telephone Number	:	336-409-4679
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 WHITE ST
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6351
Country	:	US
Telephone Number	:	910-353-7222
Fax Number	:

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

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	03/16/2026

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Directions to “ MORGAN FISHER WOODRUFF ” Practice Location

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