Healthcare Provider Details

I. General information

NPI: 1447960232
Provider Name (Legal Business Name): SYDNEY MORRIS-HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST
JACKSON MS
39216-4500
US

IV. Provider business mailing address

1855 LAKELAND DR APT 426
JACKSON MS
39216-0006
US

V. Phone/Fax

Practice location:
  • Phone: 678-458-6755
  • Fax:
Mailing address:
  • Phone: 678-458-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: