Provider Demographics
NPI:1366225328
Name:MORRIS, JADE ELIZABETH
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:ELIZABETH
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 1:3112 SW 130TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-2073
Mailing Address - Country:US
Mailing Address - Phone:405-808-3366
Mailing Address - Fax:
Practice Address - Street 1:4301 N SARA RD STE 119
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-3681
Practice Address - Country:US
Practice Address - Phone:405-808-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4549111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor