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NPI Code Detail

MEDICARE: JOANN MORRIS

MEDICARE: JOANN MORRIS
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1568166734
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOANN MORRIS
Provider Business Mailing Address
First Line : 2691 ALDERNEY LN
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-4732
Country : US
Telephone Number : 919-527-8373
Fax Number :
Provider Business Practice Location Address
First Line : 2691 ALDERNEY LN
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27103-4732
Country : US
Telephone Number : 919-527-8373
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. JOANN MORRIS
Credential :
Telephone Number : 919-527-8373
Provider Enumeration Date : 03/29/2023
Last Update Date : 03/29/2023

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