Provider Demographics
NPI:1154043149
Name:DAVIS, MORGAN ATWELL (NP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ATWELL
Last Name:DAVIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:ASHLEY
Other - Last Name:ATWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8776 BRASHER RD
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-2550
Mailing Address - Country:US
Mailing Address - Phone:334-399-1737
Mailing Address - Fax:
Practice Address - Street 1:100 PILOT MEDICAL DR STE 300
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3412
Practice Address - Country:US
Practice Address - Phone:205-856-2284
Practice Address - Fax:205-815-4777
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF07210259363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner