Provider Demographics
NPI:1770002081
Name:MORRIS, DIONNE (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:DIONNE
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:DIONNE
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HAIR LOSS SPECIALIST
Mailing Address - Street 1:1914 ART MUSEUM DR STE C
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-2585
Mailing Address - Country:US
Mailing Address - Phone:904-568-4409
Mailing Address - Fax:
Practice Address - Street 1:1914 ART MUSEUM DR STE C
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-2585
Practice Address - Country:US
Practice Address - Phone:904-568-4409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management