Basic Information
Provider Information
NPI: 1942938485
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGENSTERN
FirstName: LEXI
MiddleName: K
NamePrefix: MRS.
NameSuffix:  
Credential: MS, APRN, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SILER
OtherFirstName: LEXI
OtherMiddleName: K
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 14168 FOX HILL DR
Address2:  
City: GULFPORT
State: MS
PostalCode: 395035392
CountryCode: US
TelephoneNumber: 2288618419
FaxNumber:  
Practice Location
Address1: 1130 FRONTAGE DR W
Address2:  
City: WIGGINS
State: MS
PostalCode: 395778165
CountryCode: US
TelephoneNumber: 6017168012
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/11/2022
LastUpdateDate: 08/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XMORG-QYNF3HMSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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