Provider Demographics
NPI:1053869404
Name:MORRIS, JENNIFER VICTORIA (MA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:VICTORIA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3443 ESPLANADE AVE
Mailing Address - Street 2:553
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2916
Mailing Address - Country:US
Mailing Address - Phone:504-206-5959
Mailing Address - Fax:
Practice Address - Street 1:3443 ESPLANADE AVE
Practice Address - Street 2:553
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2916
Practice Address - Country:US
Practice Address - Phone:504-206-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health