Individual
JOHN PATRICK MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2911 ESSARY DR, KNOXVILLE, TN 37918-2468
(865) 243-3754
(865) 243-2250
Mailing address
9221 MIDDLEBROOK PIKE, SUITE 102, KNOXVILE, TN 37931
(865) 539-2873
(865) 539-2969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15182
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527269
—
TN
01
—
NONE
NONE
—
Enumeration date
01/13/2011
Last updated
07/02/2012
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