Healthcare Provider Details

I. General information

NPI: 1407332828
Provider Name (Legal Business Name): JESSICA MORRISON RSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1162 OLIVER RD STE 4
MONROE LA
71201-5757
US

IV. Provider business mailing address

1162 OLIVER RD STE 4
MONROE LA
71201-5757
US

V. Phone/Fax

Practice location:
  • Phone: 318-649-6399
  • Fax: 318-649-2356
Mailing address:
  • Phone: 318-649-6399
  • Fax: 318-649-2356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: