Provider Demographics
NPI:1760842918
Name:MURPHREE, MEGAN P (FNP-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:P
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:M
Other - Last Name:PELICAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5690 OGEECHEE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-9500
Mailing Address - Country:US
Mailing Address - Phone:912-234-5575
Mailing Address - Fax:
Practice Address - Street 1:5690 OGEECHEE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-9500
Practice Address - Country:US
Practice Address - Phone:912-234-5575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-01
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN211126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003174857AMedicaid
GA20250I3618Medicare PIN