Individual
JAMES MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP-BC
Contact information
Practice address
855 S GERMAN LN STE 1, CONWAY, AR 72034-6479
(903) 277-5517
Mailing address
27 DEERBERRY FOREST CIR, LITTLE ROCK, AR 72211-4427
(903) 277-5517
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
223079
AR
Other
Enumeration date
09/18/2016
Last updated
03/08/2023
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