Provider Demographics
NPI:1043545668
Name:MURLEY, JACQUELINE (FNP)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:
Last Name:MURLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 W IH 10
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2038
Mailing Address - Country:US
Mailing Address - Phone:210-692-1414
Mailing Address - Fax:210-615-0497
Practice Address - Street 1:109 FALLS CT
Practice Address - Street 2:SUITE 300
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2977
Practice Address - Country:US
Practice Address - Phone:830-249-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX546507363LF0000X
TXAP118296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily