Healthcare Provider Details

I. General information

NPI: 1972990083
Provider Name (Legal Business Name): JERRINE RENEE MORRIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 ALICEANNA ST STE 300
BALTIMORE MD
21202-4761
US

IV. Provider business mailing address

9600 BLACKWELL RD STE 500
ROCKVILLE MD
20850-3783
US

V. Phone/Fax

Practice location:
  • Phone: 443-825-3340
  • Fax: 855-867-6708
Mailing address:
  • Phone:
  • Fax: 855-420-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberD0094751
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number0101277863
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: