Individual provider · Type 1 NPI

Jordan Riley Cormack, PHYSICIAN ASSISTANT

Medical Physician Assistant · Knoxville, TN

NPI number 1548890247 Active

Practice location

1901 Clinch Ave
Knoxville, TN 37916-2307

Call (865) 541-1111 Map

Mailing address

9056 Highbridge Dr
Knoxville, TN 37922-1439

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1548890247

Jordan Riley Cormack, PHYSICIAN ASSISTANT's National Provider Identifier is 1548890247, issued on Jan 22, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Jun 2, 2022.