Healthcare Provider Details

I. General information

NPI: 1548109291
Provider Name (Legal Business Name): JULIE MURDOCK RN NCSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2934 E BENNETT ST
SPRINGFIELD MO
65804-1945
US

IV. Provider business mailing address

2934 E BENNETT ST
SPRINGFIELD MO
65804-1945
US

V. Phone/Fax

Practice location:
  • Phone: 417-523-4730
  • Fax: 417-523-4795
Mailing address:
  • Phone: 417-523-4730
  • Fax: 417-523-4795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number2016035189
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: