Basic Information
Provider Information
NPI: 1851792196
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY-BRYNER
FirstName: JAYNE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24651 CENTER RIDGE RD
Address2: SUITE 350
City: WESTLAKE
State: OH
PostalCode: 441455635
CountryCode: US
TelephoneNumber: 4408955056
FaxNumber:  
Practice Location
Address1: 3665 W 117TH ST
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441115215
CountryCode: US
TelephoneNumber: 2162515464
FaxNumber: 2162515963
Other Information
ProviderEnumerationDate: 09/05/2014
LastUpdateDate: 09/05/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X36OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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