Provider Demographics
NPI:1750076188
Name:MORRIS, JASMINE ANNESSA
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:ANNESSA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 GATEWAY BLVD W UNIT 1438
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-7558
Mailing Address - Country:US
Mailing Address - Phone:912-901-1917
Mailing Address - Fax:912-239-4587
Practice Address - Street 1:99 GATEWAY BLVD W UNIT 1438
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-7558
Practice Address - Country:US
Practice Address - Phone:912-901-1917
Practice Address - Fax:912-239-4587
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care