Healthcare Provider Details

I. General information

NPI: 1306770441
Provider Name (Legal Business Name): JOAN MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E 5TH ST
FLINT MI
48502-1641
US

IV. Provider business mailing address

11979 MEADOWBROOK LN
HARTLAND MI
48353-2022
US

V. Phone/Fax

Practice location:
  • Phone: 810-406-4246
  • Fax:
Mailing address:
  • Phone: 810-874-3108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704270912
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: