Murray, Jennifer Lynn
Murray, Jennifer Lynn is an individual health care provider with primary practice located at 10256 Old Green Bay Rd , Pleasant Prairie WI 53158-2814. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Murray, Jennifer Lynn can be contacted via phone (262) 551-4200.Contact Information
Primary practice address
10256 Old Green Bay Rd
Pleasant Prairie WI 53158-2814
Phone: (262) 551-4200
Fax: (262) 551-4947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 041413649 | Illinois |
| Nursing Service Providers / Registered Nurse | 163W00000X | 24062930 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209020321 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 969033 | Wisconsin |
Profile Details
| NPI number | 1245871425 |
|---|---|
| LBN Legal business name | Murray, Jennifer Lynn |
| Credentials | MSN, APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2019 |
| Last updated | Apr 27th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245871425 | NPPES |
| Wisconsin | MEDICAID | 1245871425 | |
| Wisconsin | Other | 9690-33 |
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