Healthcare Provider Details

I. General information

NPI: 1659153724
Provider Name (Legal Business Name): JASMINE PATRICE MURPHY PHLEBOTOMY TECHNICIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2298 YOUNG AVE # 343
MEMPHIS TN
38104-5755
US

IV. Provider business mailing address

2298 YOUNG AVE # 343
MEMPHIS TN
38104-5755
US

V. Phone/Fax

Practice location:
  • Phone: 901-633-0969
  • Fax:
Mailing address:
  • Phone: 901-633-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: