Provider Demographics
NPI:1437923273
Name:MURRAY, JAZZMON YOULANDA
Entity Type:Individual
Prefix:
First Name:JAZZMON
Middle Name:YOULANDA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 WELCH CIR
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-7194
Mailing Address - Country:US
Mailing Address - Phone:256-405-6823
Mailing Address - Fax:
Practice Address - Street 1:4421 WELCH CIR
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-7194
Practice Address - Country:US
Practice Address - Phone:256-405-6823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst