Individual provider · Type 1 NPI

Amanda McCormick, AGNP-C

Nurse Practitioner · Grand Rapids, MI

NPI number 1295333938 Active

Practice location

624 Cherry St SE Apt 5
Grand Rapids, MI 49503-4778

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704292297 (MI)

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 1295333938

Amanda McCormick, AGNP-C's National Provider Identifier is 1295333938, issued on Oct 14, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 10, 2026.