Provider Demographics
NPI:1891315156
Name:MORGAN, JESSICA PRISCILLA (BSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:PRISCILLA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 DICK PRICE RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5288
Mailing Address - Country:US
Mailing Address - Phone:817-953-8711
Mailing Address - Fax:817-953-0087
Practice Address - Street 1:6960 DICK PRICE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5288
Practice Address - Country:US
Practice Address - Phone:817-953-8711
Practice Address - Fax:817-953-0087
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator