Provider Demographics
NPI:1811478027
Name:MURPHY, VENITA HELEN (APRN)
Entity type:Individual
Prefix:MRS
First Name:VENITA
Middle Name:HELEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 BOB HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:TN
Mailing Address - Zip Code:37029-5703
Mailing Address - Country:US
Mailing Address - Phone:615-412-7715
Mailing Address - Fax:
Practice Address - Street 1:230 E JAMES M CAMPBELL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-0504
Practice Address - Country:US
Practice Address - Phone:615-462-6673
Practice Address - Fax:931-223-5551
Is Sole Proprietor?:No
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23616363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily