Provider Demographics
NPI:1235603275
Name:MURPHY-JENNINGS, PACHE KEES (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:PACHE
Middle Name:KEES
Last Name:MURPHY-JENNINGS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 BETSY ROSS LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-6606
Mailing Address - Country:US
Mailing Address - Phone:256-483-6740
Mailing Address - Fax:
Practice Address - Street 1:102 PHYSICIANS DR STE A
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2149
Practice Address - Country:US
Practice Address - Phone:256-286-4026
Practice Address - Fax:256-381-4783
Is Sole Proprietor?:No
Enumeration Date:2019-01-13
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155818363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner