Provider Demographics
NPI:1588942544
Name:BURNS, MORGAN (ARNP-C)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 FAULKNER ST
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6422
Mailing Address - Country:US
Mailing Address - Phone:386-871-5528
Mailing Address - Fax:
Practice Address - Street 1:4131 NW 28TH LN STE 4
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6681
Practice Address - Country:US
Practice Address - Phone:352-681-9652
Practice Address - Fax:386-243-7293
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017077363LA2200X
FL11017077363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health