Provider Demographics
NPI:1770468605
Name:MCMORRIS, YETUNDE FUNMILAYO (SOLE PROPRITOR)
Entity type:Individual
Prefix:
First Name:YETUNDE
Middle Name:FUNMILAYO
Last Name:MCMORRIS
Suffix:
Gender:F
Credentials:SOLE PROPRITOR
Other - Prefix:
Other - First Name:YETUNDE
Other - Middle Name:F
Other - Last Name:MCMORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:66 W 8TH AVE APT E1
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-8307
Mailing Address - Country:US
Mailing Address - Phone:864-357-1038
Mailing Address - Fax:
Practice Address - Street 1:66 W 8TH AVE APT E1
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-8307
Practice Address - Country:US
Practice Address - Phone:864-357-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker