Healthcare Provider Details

I. General information

NPI: 1376447128
Provider Name (Legal Business Name): MRS. ALISHA NICOLE MORRIS-KENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 4TH AVE S STE 119
BIRMINGHAM AL
35233-2951
US

IV. Provider business mailing address

1304 DEERFIELD LN NE
JACKSONVILLE AL
36265-1158
US

V. Phone/Fax

Practice location:
  • Phone: 251-279-0066
  • Fax:
Mailing address:
  • Phone: 251-279-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number151418
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: