Individual
DONNA JAYNE MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2708 RIFE MEDICAL LN, SUITE 210, ROGERS, AR 72758-1452
(479) 338-3888
(479) 338-4453
Mailing address
2708 RIFE MEDICAL LN, SUITE 210, ROGERS, AR 72758-1452
(479) 338-3888
(479) 338-4453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A03162
AR
363LF0000X
Family Nurse Practitioner
129126
MO
363LF0000X
Family Nurse Practitioner
45502
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100407660C
—
KS
01
—
33251018
BCBS KC
MO
05
—
425215613
—
MO
01
—
5R041
AR BCBS
AR
Enumeration date
05/25/2006
Last updated
04/17/2020
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