Provider Demographics
NPI:1598484198
Name:MORRIS, QUINNTOYA M
Entity Type:Individual
Prefix:
First Name:QUINNTOYA
Middle Name:M
Last Name:MORRIS
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:PO BOX 7203
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39282-7203
Mailing Address - Country:US
Mailing Address - Phone:601-609-0221
Mailing Address - Fax:769-251-1035
Practice Address - Street 1:2310 HIGHWAY 80 W STE E1143
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39204-2354
Practice Address - Country:US
Practice Address - Phone:601-373-9775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker