Basic Information
| Provider Information | |||||||||
| NPI: | 1194955047 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURPHY | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | Q | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13424 HEIGHTS PARK | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782305886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7193226760 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4243 E SOUTHCROSS BLVD | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782223727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103374316 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/24/2009 | ||||||||
| LastUpdateDate: | 05/12/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 845484 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.