Individual provider · Type 1 NPI
Jennifer McCormack, APRN
Family Nurse Practitioner · Desoto, TX
NPI number
1073170668
Active
Practice location
2715 Bolton Boone Dr Ste B
Desoto, TX 75115-2079
Fax (972) 780-6115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP141637 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073170668
Jennifer McCormack, APRN's National Provider Identifier is 1073170668, issued on May 20, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Desoto, TX. The record was last updated on May 20, 2019.