Organization
COUNTY OF NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARIE MCCORMACK (LIEUTENANT)
(530) 470-2616
Entity
Organization
Contact information
Practice address
925 MAIDU AVE, NEVADA CITY, CA 95959-8600
(530) 265-1471
Mailing address
950 MAIDU AVE, NEVADA CITY, CA 95959-8600
(530) 265-1471
(530) 470-0439
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
12/03/2025
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