Provider Demographics
NPI:1699015479
Name:HUGHES, MORGAN ASHLEY (NP)
Entity type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ASHLEY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:ASHLEY
Other - Last Name:CANTWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4245 JOHNS CREEK PARKWAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024
Mailing Address - Country:US
Mailing Address - Phone:650-367-5636
Mailing Address - Fax:650-367-5110
Practice Address - Street 1:4245 JOHNS CREEK PARKWAY
Practice Address - Street 2:SUITE A
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:650-367-5636
Practice Address - Fax:650-367-5110
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN277799363LF0000X
CA95004935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily