Individual
EMILY L MCCORMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2352C HIGHWAY 15 N, PONTOTOC, MS 38863-8998
(662) 597-7977
(662) 597-7977
Mailing address
2434 S EASON BLVD, TUPELO, MS 38804-6942
(662) 640-4595
(662) 680-6416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903001
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
903001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018203
—
MS
Enumeration date
10/31/2018
Last updated
06/13/2025
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