Healthcare Provider Details

I. General information

NPI: 1023131190
Provider Name (Legal Business Name): JENNIFER BIAS MORRIS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E COURT AVE STE C
SELMER TN
38375-2304
US

IV. Provider business mailing address

213 WOODLAND CIR
RAMER TN
38367-5128
US

V. Phone/Fax

Practice location:
  • Phone: 731-645-7008
  • Fax: 731-982-7006
Mailing address:
  • Phone: 731-645-8689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11649
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: