Justine Holle Morgan, CFNP

Primary specialty

Pediatric Oncology Clinical Nurse SpecialistTaxonomy code 364SX0204X

License

209-006692 Issued in IL

Practice address

415 N 9TH St
Suite 2W106
Springfield, IL 62702

Phone

(217) 545-7377

Fax

(217) 545-7021

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Justine Holle Dammerman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: justinemorgan@siusm.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Board of Trustees of Southern Illinois University

  • Rural Health Clinic/Center
  • Carbondale, IL
  • NPI 1215978127
  NPD
• Siu Physicians & Surgeons, Inc

  • Pediatrics Physician
  • Springfield, IL
  • NPI 1285657379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1033307780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19678",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949678",
            "telephone_number": "217-545-7377",
            "fax_number": "217-545-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 9TH ST",
            "address_2": "SUITE 2W106",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-545-7377",
            "fax_number": "217-545-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JUSTINE",
        "middle_name": "HOLLE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-006692",
            "primary": false
        },
        {
            "code": "364SX0204X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology, Pediatrics",
            "state": "IL",
            "license": "209-006692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justinemorgan@siusm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "415 N 9th St",
            "address_2": "SUITE 2W106",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "DAMMERMAN",
            "middle_name": "HOLLE",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Javier Moreno
• Timothy Morenz, LCPC
• Abigail Lauren Morgan, DNP, FNP-C
• Anne B Morgan, PHD
• Cornelius Morgan Jr.
• Samantha M Morin, RBT
• Michael A Morley, D.M.D.
• Suzanne Flatley Morphew, CFNP
• Brian Morris
• Logan Samuel Morris, DDS MSD

• Clinical Nurse Specialist in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.