Provider Demographics
NPI:1568010890
Name:MORRIS, ALLISON M (MS, RD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 CLARKE ST # B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5938
Mailing Address - Country:US
Mailing Address - Phone:908-407-2898
Mailing Address - Fax:
Practice Address - Street 1:6627 W BROAD ST STE 400
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1733
Practice Address - Country:US
Practice Address - Phone:804-774-4822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR86079858133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered