Provider Demographics
NPI:1639149461
Name:MURPHY, JENNIFER KIRSTEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KIRSTEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:KIRSTEN
Other - Last Name:JURGENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2001 2ND AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-7881
Mailing Address - Country:US
Mailing Address - Phone:843-572-4840
Mailing Address - Fax:843-764-2726
Practice Address - Street 1:2001 2ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486
Practice Address - Country:US
Practice Address - Phone:843-572-4840
Practice Address - Fax:843-764-2726
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28871207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA34324Medicaid
SC288717Medicaid