Provider Demographics
NPI:1255661450
Name:MURPHY, JILL G (NP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:G
Last Name:MURPHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:A
Other - Last Name:GALBALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 W. BRAMBLETON AVENUE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510
Mailing Address - Country:US
Mailing Address - Phone:757-274-4000
Mailing Address - Fax:757-274-4001
Practice Address - Street 1:400 W. BRAMBLETON AVENUE
Practice Address - Street 2:SUITE 300
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510
Practice Address - Country:US
Practice Address - Phone:757-274-4000
Practice Address - Fax:757-274-4001
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily