Provider Demographics
NPI:1144871047
Name:TRACY MORGAN APRN-CNP PLLC
Entity type:Organization
Organization Name:TRACY MORGAN APRN-CNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-CNP
Authorized Official - Phone:918-413-5279
Mailing Address - Street 1:1301 S BROADWAY AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-5268
Mailing Address - Country:US
Mailing Address - Phone:918-721-0016
Mailing Address - Fax:918-564-2719
Practice Address - Street 1:1301 S BROADWAY AVE STE 5
Practice Address - Street 2:
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-5268
Practice Address - Country:US
Practice Address - Phone:918-721-0016
Practice Address - Fax:918-564-2719
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRACY MORGAN APRN-CNP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-23
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty