Provider Demographics
NPI:1619214160
Name:MURPHY, JESSTINA APRIL (RN)
Entity Type:Individual
Prefix:MRS
First Name:JESSTINA
Middle Name:APRIL
Last Name:MURPHY
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 1:69 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-2095
Mailing Address - Country:US
Mailing Address - Phone:603-752-1005
Mailing Address - Fax:
Practice Address - Street 1:69 WILLARD ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-2095
Practice Address - Country:US
Practice Address - Phone:603-752-1005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH062669-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse