Healthcare Provider Details

I. General information

NPI: 1841686680
Provider Name (Legal Business Name): JHAVENE MICANEE MORRISON MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 GOVERNORS DR SE
HUNTSVILLE AL
35801-2700
US

IV. Provider business mailing address

PO BOX 2705
HUNTSVILLE AL
35804-2705
US

V. Phone/Fax

Practice location:
  • Phone: 256-265-7981
  • Fax:
Mailing address:
  • Phone: 256-265-7981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number43059
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number80108
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number43059
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: