MEDICARE: MCKENNA MURPHY

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1801743521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKENNA MURPHY

Provider Business Mailing Address
First Line	:	16326 HUNTERS HOLLOW TRL
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-8979
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12276 SAN JOSE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-8628
Country	:	US
Telephone Number	:	904-886-3228
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ MCKENNA MURPHY ” Practice Location

Language	Start Address	Practice Location

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