Individual
ASHLEY ANDERSON MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 W MAIN ST STE 140, LEBANON, TN 37087-1345
(615) 994-8201
Mailing address
3810 CENTRAL PIKE, HERMITAGE, TN 37076-3494
(931) 967-9393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26970
TN
Other
Enumeration date
01/03/2020
Last updated
04/20/2023
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