Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | LG0000713 | DE |
NPI | 1003244039 |
---|---|
Provider Name | Jonelle Murph |
First Address | Newark, DE 19713-2081 |
Second Address | Dover, DE 19904-3573 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2013 |
Last Update Date | 30/10/2013 |