Provider Demographics
NPI:1699521328
Name:MORGASON, ALLISON MICHELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MICHELLE
Last Name:MORGASON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 S LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:PANA
Mailing Address - State:IL
Mailing Address - Zip Code:62557-1605
Mailing Address - Country:US
Mailing Address - Phone:217-562-2143
Mailing Address - Fax:217-562-2251
Practice Address - Street 1:217 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:PANA
Practice Address - State:IL
Practice Address - Zip Code:62557-1605
Practice Address - Country:US
Practice Address - Phone:217-562-2143
Practice Address - Fax:217-562-2251
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209029588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily