Healthcare Provider Details

I. General information

NPI: 1528982584
Provider Name (Legal Business Name): JESSICA MURPHY RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 GRANBY ST STE B
NORFOLK VA
23505-3436
US

IV. Provider business mailing address

101 SANDERSON CT
MOYOCK NC
27958-9031
US

V. Phone/Fax

Practice location:
  • Phone: 757-587-7400
  • Fax:
Mailing address:
  • Phone: 252-722-3483
  • Fax: 252-722-3483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number0402207214
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: