Healthcare Provider Details

I. General information

NPI: 1396626164
Provider Name (Legal Business Name): ROSEMARY MORRIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 MALL BLVD
SAVANNAH GA
31406-4888
US

IV. Provider business mailing address

420 MALL BLVD
SAVANNAH GA
31406-4888
US

V. Phone/Fax

Practice location:
  • Phone: 912-644-5835
  • Fax:
Mailing address:
  • Phone: 912-644-5835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN090015
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: