Organization
ON THE GO NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LORRIENE MURPHY DNP, APRN, FNP-BC (NURSE PRACTITIONER)
(480) 544-3417
Entity
Organization
Contact information
Practice address
2220 S VALLE VERDE, MESA, AZ 85209-1529
(480) 544-3417
Mailing address
2220 S VALLE VERDE, MESA, AZ 85209-1529
(480) 544-3417
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221736
NURSE PRACTITIONER LICENSE
AZ
Enumeration date
05/22/2025
Last updated
05/22/2025
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