Healthcare Provider Details

I. General information

NPI: 1376074377
Provider Name (Legal Business Name): DEBORAH LYNN MURPHY R.N., APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH LYNN SOLIS R.N.

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10018 KENNERLY RD
SAINT LOUIS MO
63128-2106
US

IV. Provider business mailing address

5616 LISETTE AVE
SAINT LOUIS MO
63109-3719
US

V. Phone/Fax

Practice location:
  • Phone: 314-525-7275
  • Fax:
Mailing address:
  • Phone: 314-203-9457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2025008490
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number2004007030
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: