Individual
JAZYMNE MYCHELLE MCCORVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(952) 992-5691
(952) 992-6917
Mailing address
6421 BENNINGTON BLUFF CT, MABLETON, GA 30126-7272
(678) 451-5700
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
NP95033350
CA
Other
Enumeration date
07/16/2024
Last updated
02/04/2025
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