Provider Demographics
NPI:1215226519
Name:MURDOCK, JESSICA NOEL (RN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:NOEL
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 FAULKNER DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-4738
Mailing Address - Country:US
Mailing Address - Phone:402-464-2422
Mailing Address - Fax:402-464-2922
Practice Address - Street 1:3901 FAULKNER DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4738
Practice Address - Country:US
Practice Address - Phone:402-464-2422
Practice Address - Fax:402-464-2922
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE62869163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health