Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP0000012082 | TN |
NPI | 1083783401 |
---|---|
Provider Name | Mrs. Lucinda Leanna Murphy |
First Address | Cleveland, TN 37312-1600 |
Second Address | Madisonville, TN 37354-1187 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/07/2007 |