Provider Demographics
NPI:1093917510
Name:MURRAY, JILL ELLEN (RN, CNS)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ELLEN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ST. JOSEPH'S ST
Mailing Address - Street 2:NURSING ED
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3154
Mailing Address - Country:US
Mailing Address - Phone:415-833-6060
Mailing Address - Fax:
Practice Address - Street 1:350 ST. JOSEPH'S ST
Practice Address - Street 2:NURSING ED
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3154
Practice Address - Country:US
Practice Address - Phone:415-833-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA615472163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology