Individual provider · Type 1 NPI

Morgan Elizabeth Grace Su, CPNP

Pediatric Nurse Practitioner · Jefferson City, MO

NPI number 1811471667 Active

Practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Call (573) 556-7704 Map

Fax (573) 556-1714

Mailing address

PO Box 104240
Jefferson City, MO 65110-4240

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	2017030714 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1811471667

Morgan Elizabeth Grace Su, CPNP's National Provider Identifier is 1811471667, issued on Sep 18, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 18, 2018.