Healthcare Provider Details

I. General information

NPI: 1982192324
Provider Name (Legal Business Name): JENNIFER E MURPHY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W 4TH ST
PEABODY KS
66866-1103
US

IV. Provider business mailing address

2125 70TH
PEABODY KS
66866-9836
US

V. Phone/Fax

Practice location:
  • Phone: 620-992-6088
  • Fax: 316-867-6365
Mailing address:
  • Phone: 484-464-3820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5379837
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: