Individual
JENNIFER MCCORMAC
Active
Individual
JENNIFER MCCORMAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP, CWON
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
632605-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308845-1
NY
Other
Enumeration date
09/08/2018
Last updated
06/03/2025
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