Healthcare Provider Details

I. General information

NPI: 1063661668
Provider Name (Legal Business Name): MRS. TERRIANN CHERISE MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 WALNUT ST
SALEM NJ
08079-1746
US

IV. Provider business mailing address

74 WALNUT ST
SALEM NJ
08079-1746
US

V. Phone/Fax

Practice location:
  • Phone: 856-956-8719
  • Fax: 856-956-8719
Mailing address:
  • Phone: 856-956-8719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: