Healthcare Provider Details

I. General information

NPI: 1477462927
Provider Name (Legal Business Name): ALI JANE MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 S GARNETT RD
TULSA OK
74146-6831
US

IV. Provider business mailing address

4351 S SAINT LOUIS AVE
TULSA OK
74105-4127
US

V. Phone/Fax

Practice location:
  • Phone: 918-665-2501
  • Fax: 918-665-3966
Mailing address:
  • Phone: 405-202-4111
  • Fax: 918-665-3966

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: