Individual provider · Type 1 NPI

Ashley Anderson McCormack

Nurse Practitioner · Lebanon, TN

NPI number 1003455361 Active

Practice location

1670 W Main St Ste 140
Lebanon, TN 37087-1345

Mailing address

3810 Central Pike
Hermitage, TN 37076-3494

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26970 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003455361

Ashley Anderson McCormack's National Provider Identifier is 1003455361, issued on Jan 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lebanon, TN. The record was last updated on Apr 20, 2023.