Su, Morgan Elizabeth Grace

Su, Morgan Elizabeth Grace is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Su, Morgan Elizabeth Grace can be contacted via phone (573) 556-7704.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 556-7704
Fax: (573) 556-1714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2017030714 Missouri

Profile Details

NPI number 1811471667
LBN Legal business name Su, Morgan Elizabeth Grace
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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