Provider Demographics
NPI:1093523714
Name:TAYLOR, MORGAN LEE (CPNP)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LEE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 SHACKLETON RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5313
Mailing Address - Country:US
Mailing Address - Phone:919-457-8751
Mailing Address - Fax:
Practice Address - Street 1:1016 SHACKLETON RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5313
Practice Address - Country:US
Practice Address - Phone:919-457-8751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202428149208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics