Provider Demographics
NPI:1801947841
Name:JENKINS-MURPHY, GEORGIANNA
Entity type:Individual
Prefix:MRS
First Name:GEORGIANNA
Middle Name:
Last Name:JENKINS-MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 N. PLA. ESPLENDORA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-4523
Mailing Address - Country:US
Mailing Address - Phone:520-577-1138
Mailing Address - Fax:
Practice Address - Street 1:MUSD SPECIAL EDUCATION
Practice Address - Street 2:11279 W. GRIER RDD
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653
Practice Address - Country:US
Practice Address - Phone:520-682-4782
Practice Address - Fax:520-682-4818
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool