JENNIFER MCCORMACK APRN NPI 1073170668

NPI Information

NPI: 1073170668
Provider Name: JENNIFER MCCORMACK, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2715 BOLTON BOONE DR STE B
DESOTO, TX
ZIP 75115
Phone: (972) 780-8009
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Jennifer Mccormack, APRN is a family nurse practitioner in Desoto, TX. Jennifer Mccormack, APRN NPI is 1073170668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2715 BOLTON BOONE DR STE B
DESOTO, TX
ZIP 75115-079
Phone: (972) 780-8009
Fax: (972) 780-6115

The enumeration date for this NPI number is 5/20/2019 and was last updated on 5/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP141637	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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