Amanda Chae Morgan, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Lake Park, GA
NPI 1669969465 · NPPES record last updated Apr 17, 2018
Key facts
- NPI
- 1669969465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209139 (GA)
- Practice address
- 5201 Sequani Cir
Lake Park, GA 31636-3241 - Phone
- (229) 300-5867
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209139 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 209139 | GA | Yes |
Addresses
Primary practice location
5201 Sequani Cir
Lake Park, GA 31636-3241
Mailing address
3014 N Patterson St
Valdosta, GA 31602-1711
Phone (229) 242-0194
Other providers in Lake Park, GA
- Lake Park Pharmacy LLC
- Lake Park Pharmacy, LLC
- Tracey Lasane
- Margarita Lepe
- Migrant Farmworkers Clinic Inc
- Brandy Lynn Murray
- Lydia Marie Naylor
- New Foundations Youth Center, Inc
- Nina'S Legacy Home Care LLC
- Sheila Michele Nobles
All providers in Lake Park, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2018. 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.