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General NPI Number Information
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NPI Number | 1417345638
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Entity Type | Individual
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Provider Name | JASON DANIEL MURPHY FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 1227 ROCKBRIDGE RD
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City | STONE MOUNTAIN
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State | GA
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Zip | 30087-3064
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Country | US
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Telephone | 770-413-1476
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Fax | 770-498-3939
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Provider Business Mailing Address
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Address Line | PO BOX 932958
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City | CLEVELAND
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State | OH
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Zip | 44193-0028
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Country | US
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Telephone | 615-425-4211
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Fax | 615-425-4268
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19277
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN244491
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License Number State | GA
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