MEDICARE: JAMES MORRISE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	45534612K	LA

General Provider Information

NPI Number	:	1093497349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MORRISE

Provider Business Mailing Address
First Line	:	18058 WOODHAVEN DR
Second Line	:
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-5662
Country	:	US
Telephone Number	:	225-315-4836
Fax Number	:

Provider Business Practice Location Address
First Line	:	18058 WOODHAVEN DR
Second Line	:
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-5662
Country	:	US
Telephone Number	:	225-315-4836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	11/08/2023

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Directions to “ JAMES MORRISE ” Practice Location

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