Provider Demographics
NPI:1093497349
Name:MORRISE, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MORRISE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18058 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-5662
Mailing Address - Country:US
Mailing Address - Phone:225-315-4836
Mailing Address - Fax:
Practice Address - Street 1:18058 WOODHAVEN DR
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-5662
Practice Address - Country:US
Practice Address - Phone:225-315-4836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA45534612K343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)