Ashley Anderson Mccormack
Nurse Practitioner
1670 W Main St Ste 140
Lebanon
, Tennessee 37087-1345
Ashley Anderson Mccormack
Nurse Practitioner
1670 W Main St Ste 140
Lebanon
, Tennessee 37087-1345
(815) 744-8554
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Ashley Anderson Mccormack
- 820 Springer Dr
- Lombard, IL
- Zip : 60148-6413
- Phone : (815) 744-8554
Second Address
- Ashley Anderson Mccormack
- 1670 W Main St Ste 140
- Lebanon, TN
- Zip : 37087-1345
- Phone : (615) 994-8201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26970 | TN |
National Provider Identifier
| NPI | 1003455361 |
|---|---|
| Provider Name | Ashley Anderson Mccormack |
| First Address | Lombard, IL 60148-6413 |
| Second Address | Lebanon, TN 37087-1345 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2020 |
| Last Update Date | 31/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.