Provider Demographics
NPI:1982192324
Name:MURPHY, JENNIFER E (CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 70TH
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:KS
Mailing Address - Zip Code:66866-9836
Mailing Address - Country:US
Mailing Address - Phone:484-464-3820
Mailing Address - Fax:
Practice Address - Street 1:7421 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6935
Practice Address - Country:US
Practice Address - Phone:704-529-6161
Practice Address - Fax:570-501-3761
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018654363L00000X
KS5379837363LF0000X
FLAPRN11024813363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner