NPI | 1194438432 |
---|---|
Former Name | MORGAN NICOLE SHORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020915) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN266063) |
Enumeration Date | 2023-01-02 |
Last Update Date | 2025-09-29 |