Provider Demographics
NPI:1528711322
Name:VERRILL, MORGAN ELIZABETH (RN)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:VERRILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115
Mailing Address - Country:US
Mailing Address - Phone:615-732-7662
Mailing Address - Fax:
Practice Address - Street 1:315 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115
Practice Address - Country:US
Practice Address - Phone:615-732-7662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2023-09-27
Deactivation Date:2022-09-29
Deactivation Code:
Reactivation Date:2022-12-16
Provider Licenses
StateLicense IDTaxonomies
TN0000243001163WC0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163W00000XNursing Service ProvidersRegistered Nurse