Provider Demographics
NPI:1699080671
Name:MURPHY, JENNIFER ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OCONNOR DR
Mailing Address - Street 2:SUITE 25
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1647
Mailing Address - Country:US
Mailing Address - Phone:408-271-2800
Mailing Address - Fax:408-271-2827
Practice Address - Street 1:100 OCONNOR DR
Practice Address - Street 2:SUITE 25
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1647
Practice Address - Country:US
Practice Address - Phone:408-271-2800
Practice Address - Fax:408-271-2827
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor