Individual
JORDAN R MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, CPNP-PC
Contact information
Practice address
173 BOULEVARD NE, ATLANTA, GA 30312-1468
(404) 658-1500
Mailing address
173 BOULEVARD NE, ATLANTA, GA 30312-1468
(404) 658-1500
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN252467
GA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN252467
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN252467
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN252467
GA
Other
Enumeration date
11/10/2020
Last updated
01/18/2022
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