Healthcare Provider Details

I. General information

NPI: 1508262155
Provider Name (Legal Business Name): JESSICA KAY MURPHY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JEFFERSON BARRACKS RD BLDG 55
SAINT LOUIS MO
63125-4181
US

IV. Provider business mailing address

10057 ELISE DR
SAINT LOUIS MO
63123-4033
US

V. Phone/Fax

Practice location:
  • Phone: 314-894-6654
  • Fax: 314-894-5775
Mailing address:
  • Phone: 314-808-2287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2014039716
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA157224
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: