MORGAN ELIZABETH GRACE SU

JEFFERSON CITY, MO
NPI1811471667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2017030714)
Enumeration Date2018-09-18
Last Update Date2018-09-18
Business Address
Mrs. MORGAN ELIZABETH GRACE SU CPNP
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-556-7704
Mailing Address
Mrs. MORGAN ELIZABETH GRACE SU CPNP
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-556-5771
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