Individual
JANAN AHMED MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
765 E ROUTE 70 BLDG A, MARLTON, NJ 08053-2341
(856) 558-1865
Mailing address
765 E ROUTE 70 BLDG A, MARLTON, NJ 08053-2341
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00783900
NJ
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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