Individual
KIMBERLY MCMURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7836 W JEFFERSON BLVD STE 101, FORT WAYNE, IN 46804-4178
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9246174
FL
363L00000X
Nurse Practitioner
Primary
71006205A
IN
363L00000X
Nurse Practitioner
APRN9246174
FL
363LA2100X
Acute Care Nurse Practitioner
71006205A
IN
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.020413
OH
363LG0600X
Gerontology Nurse Practitioner
71006205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170606
—
OH
Enumeration date
04/21/2016
Last updated
11/03/2023
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