Basic Information
Provider Information
NPI: 1215961354
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLUMB
FirstName: JEANNE
MiddleName: MURPHY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1889
Address2:  
City: TAHOE CITY
State: CA
PostalCode: 961451889
CountryCode: US
TelephoneNumber: 5304014606
FaxNumber: 5305831826
Practice Location
Address1: 10115 W RIVER ST
Address2:  
City: TRUCKEE
State: CA
PostalCode: 961610324
CountryCode: US
TelephoneNumber: 5305818864
FaxNumber: 5305831826
Other Information
ProviderEnumerationDate: 07/11/2006
LastUpdateDate: 03/16/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA84680CAY Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X11005NVN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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