Provider Demographics
NPI:1407229297
Name:MURRAY, JENNIFER (FNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 S LOCUST ST STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-8316
Mailing Address - Country:US
Mailing Address - Phone:308-675-5301
Mailing Address - Fax:308-830-7050
Practice Address - Street 1:2424 S LOCUST ST STE C
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-8316
Practice Address - Country:US
Practice Address - Phone:308-675-5301
Practice Address - Fax:308-830-7050
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2022-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily