Healthcare Provider Details

I. General information

NPI: 1114844958
Provider Name (Legal Business Name): JEANNINE M MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 CARLYLE ST
BEATRICE NE
68310-1723
US

IV. Provider business mailing address

1839 CARLYLE ST
BEATRICE NE
68310-1723
US

V. Phone/Fax

Practice location:
  • Phone: 402-230-9316
  • Fax:
Mailing address:
  • Phone: 402-230-9316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License NumberFI9046
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: