=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851321103
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOY DAWN MURPHY AGNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2006
-----------------------------------------------------
Last Update Date | 04/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4320 FOREST PARK AVE STE 1100
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63108-2979
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-333-4100
-----------------------------------------------------
Fax | 314-333-4115
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7412037
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60674-2037
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-333-4100
-----------------------------------------------------
Fax | 314-333-4115
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | 2000172019
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------