MEDICARE: MRS. JOSSIE MARIE MURRAY ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	26NJ00843500	NJ
2	363LF0000X	Family Nurse Practitioner	26NR18706800	NJ

General Provider Information

NPI Number	:	1487148995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOSSIE MARIE MURRAY ARNP

Provider Business Mailing Address
First Line	:	PO BOX 861
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07015-0861
Country	:	US
Telephone Number	:	561-449-5155
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 SHERWOOD ST
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07013-1305
Country	:	US
Telephone Number	:	561-449-5155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2018
Last Update Date	:	10/15/2018

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