Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN188105 | GA |
NPI | 1194117952 |
---|---|
Provider Name | Melissa Bell Murphy |
First Address | Lawrenceville, GA 30046-7693 |
Second Address | Lawrenceville, GA 30046-7694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2015 |
Last Update Date | 03/03/2015 |