Individual
MRS. RHONDA LEIGH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
117 N SERVICE RD E, RUSTON, LA 71270-2347
(318) 406-0360
(318) 406-0361
Mailing address
117 N SERVICE RD E, RUSTON, LA 71270-2347
(318) 406-0360
(318) 406-0361
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08420
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2407694
—
LA
Enumeration date
08/11/2015
Last updated
02/15/2023
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