MEDICARE: JESSE MURRAY NP

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	H183804	IA
2	363L00000X	Nurse Practitioner	H183804	IA

General Provider Information

NPI Number	:	1568262442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSE MURRAY NP

Provider Business Mailing Address
First Line	:	1050 4TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2425
Country	:	US
Telephone Number	:	563-320-7047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 4TH AVE SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2472
Country	:	US
Telephone Number	:	319-366-8714
Fax Number	:	319-366-8854

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

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	02/02/2026

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