Susan Destiny Morgan, NP
Individual provider Active NPI Pediatric Nurse Practitioner · Corning, CA
NPI 1306909783 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1306909783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 16997 (CA)
- Practice address
- 706 Peach St
Corning, CA 96021-3355 - Phone
- (530) 690-2820
- Fax
- (559) 690-2801
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 692442 | CA | MD | Registered Nurse |
| 16997 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolling Hills Clinic | Past |
Accepting new patients | |
| Rolling Hills Clinic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 692442 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 16997 | CA | Yes |
Addresses
Primary practice location
706 Peach St
Corning, CA 96021-3355
Mailing address
706 Peach St
Corning, CA 96021-3355
Phone (530) 690-2820
Other names
- Susan Harney
Other providers in Corning, CA
- Tiffany Lynn Lopez
- Connie Marie Massie
- Daniel Joseph McClough
- David Mark Medina
- Leilani Miller
- Marianne D. Moses
- Perla Yuritzy Munguia Ramos
- Jacob NG
- Northern Valley Catholic Social Services, Inc.
- Lyndsey Simone Nye
All providers in Corning, CA · Pediatric Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.