Individual
JENNIFER LYNN MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
10256 OLD GREEN BAY RD, PLEASANT PRAIRIE, WI 53158-2814
(262) 551-4200
(262) 551-4947
Mailing address
10256 OLD GREEN BAY RD, PLEASANT PRAIRIE, WI 53158-2814
(262) 551-4200
(262) 551-4947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041413649
IL
163W00000X
Registered Nurse
24062930
WI
363LF0000X
Family Nurse Practitioner
209020321
IL
363LF0000X
Family Nurse Practitioner
Primary
969033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245871425
—
WI
01
—
9690-33
WI APNP LICENSE
WI
Enumeration date
09/30/2019
Last updated
04/27/2020
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