Provider Demographics
NPI:1063720944
Name:MURPHY, JESSICA L (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6 BUSINESS PARK DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2988
Mailing Address - Country:US
Mailing Address - Phone:203-483-4580
Mailing Address - Fax:203-483-4581
Practice Address - Street 1:64 ROBBINS ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-2613
Practice Address - Country:US
Practice Address - Phone:203-573-6295
Practice Address - Fax:203-573-7613
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2015-04-15
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Provider Licenses
StateLicense IDTaxonomies
CT002461363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant