# JAYNE MARIE MCCORMICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801948740
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | MD2011-0692 | NM | — |
| 2086H0002X | Hospice and Palliative Medicine (Surgery) Physician | MD2011-0692 | NM | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 01/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1699730663 | GROUP NPI | NE |
| 05 | — | 47084573713 | — | NE |