Provider Demographics
NPI:1184058778
Name:MORGAN, JENNIFER NENETTA MORREALE (OD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NENETTA MORREALE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1492 POPLAR RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-3212
Mailing Address - Country:US
Mailing Address - Phone:386-852-3600
Mailing Address - Fax:
Practice Address - Street 1:6373 YOUNGERMAN CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-6609
Practice Address - Country:US
Practice Address - Phone:904-573-1383
Practice Address - Fax:904-772-6343
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC4841152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist