Provider Demographics
NPI:1497000483
Name:MURPHY, JENNIFER LYN MARSHALL (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYN MARSHALL
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:LYN
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:124 TUSCAN WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-1851
Mailing Address - Country:US
Mailing Address - Phone:904-940-9813
Mailing Address - Fax:904-940-1812
Practice Address - Street 1:475 W TOWN PL STE 115
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-3649
Practice Address - Country:US
Practice Address - Phone:904-940-9813
Practice Address - Fax:904-940-1812
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-17
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10650111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor