Provider Demographics
NPI:1588266563
Name:MORRIS, VALERIE G
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:G
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 1:4325 NORTHWIND DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-2479
Mailing Address - Country:US
Mailing Address - Phone:404-642-6534
Mailing Address - Fax:
Practice Address - Street 1:1209 GREENBELT DR
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4507
Practice Address - Country:US
Practice Address - Phone:770-358-8250
Practice Address - Fax:770-229-3223
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN127597163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty