Provider Demographics
NPI:1124394408
Name:MURPHY, JILL NOREEN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:NOREEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:CENTRAL SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:13036-3501
Mailing Address - Country:US
Mailing Address - Phone:315-676-4731
Mailing Address - Fax:315-676-2768
Practice Address - Street 1:44 SCHOOL DR
Practice Address - Street 2:
Practice Address - City:CENTRAL SQUARE
Practice Address - State:NY
Practice Address - Zip Code:13036-3501
Practice Address - Country:US
Practice Address - Phone:315-676-4731
Practice Address - Fax:315-676-2768
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY446384163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool