Provider Demographics
NPI:1881776375
Name:MORRIS, JEANNE LOUISE (RD)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:LOUISE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:400 W MINERAL KING AVE
Mailing Address - Street 2:OUTPATIENT SPECIALTY CLINICS
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6237
Mailing Address - Country:US
Mailing Address - Phone:559-624-2892
Mailing Address - Fax:559-635-4047
Practice Address - Street 1:403 W MAIN ST
Practice Address - Street 2:KAWEAH DELTA OUTPATIENT SPECIALTY CLINCS
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6240
Practice Address - Country:US
Practice Address - Phone:559-624-2892
Practice Address - Fax:559-635-4057
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered