JORDAN KATE MCCORMICK (NPI# 1245862424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245862424 |
| Entity Type | Individual |
| Full Name | JORDAN KATE MCCORMICK |
| Practice Address |
118 Memorial Dr Jacksonville NC 28546-6328 |
| Practice Telephone | 9103530581 |
| Practice Fax Number | 9105771150 |
| Mailing Telephone | 9102198326 |
| Mailing Fax Number | 9109394269 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5013460 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Memorial Dr, Jacksonville, NC 285466328 | 9103530581 | 9103531351 |
| 118 Memorial Dr, Jacksonville, NC 285466328 | 9102198326 | 9109394269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932087 | Jordan Alexis Mccormick | Counselor | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2020-04-30 |
| Street Address |
118 MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513875 | Anna Skaskiw | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2005-07-22 |
| 1174151658 | Samantha Ruth Ferguson | Nurse Practitioner | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2020-03-30 |
| 1609435684 | Katie Lynn Hill | Nurse Practitioner | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2019-06-12 |
| 1699274050 | Marsha Currin Hull | Nurse Practitioner | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2018-02-12 |
| 1992125322 | Duy An Tran Minior | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2014-04-24 |
| 1447587423 | Lindsey Boxxe Fiacco | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2009-11-11 |
| 1669592457 | Kimberly A Lewis | Physician Assistant | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2007-03-29 |
| 1164519070 | Jacksonville Children's and Multispecialty Clinic, Pa | Allergy & Immunology | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-10-10 |
| 1447361480 | Arnold Camacho Olegario | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-08-31 |
| 1548201890 | Mary L Wisniewski | Pediatrics | 118 Memorial Dr, Jacksonville, NC 28546-6328 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707183 | Kevin Troup | Nurse Practitioner | 559 Apple Creek Dr, Jacksonville, FL 32218-8954 | 2018-07-23 |
| 1629447552 | Kelly Conway Watson | Nurse Practitioner | 12317 Soaring Flight Dr, Jacksonville, FL 32225-0784 | 2015-09-22 |
| 1750795803 | Maria Gianna Agustin | Nurse Practitioner | 5618 Jeremy Ln, Jacksonville, FL 32257-3215 | 2014-06-17 |
| 1881021376 | Erika Laine Baker | Nurse Practitioner | 655 W 8th St # C3, Clinical Center 6th Floor, Suite 6-030, Jacksonville, FL 32209-6511 | 2013-09-30 |
| 1598010688 | Gabrielle Rollins | Nurse Practitioner | 10095 Beach Blvd Ste 400, Jacksonville, FL 32246-4776 | 2012-07-16 |
| 1255659629 | Paul Bryan Hofrichter | Nurse Practitioner | 10475 Centruion Parkway, N., Suite 220, Jacksonville, FL 32256 | 2010-05-11 |
| 1306972161 | Robin Paylor Johnson | Nurse Practitioner | 10337 San Jose Blvd Ste 104, Jacksonville, FL 32257-8223 | 2007-02-26 |
| 1760524060 | Lauren Claxton Shivers | Nurse Practitioner | 8351 Westport Road, Jacksonville, FL 32244 | 2007-02-13 |
| 1336191121 | Lori M Olivarez | Nurse Practitioner | 7807 Baymeadows Rd E., Suite 207, Jacksonville, FL 32256 | 2006-05-17 |
| 1568453504 | Dolores C Jones | Nurse Practitioner | 8344 Whitmire Ct, Jacksonville, FL 32216-1159 | 2005-10-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on JORDAN KATE MCCORMICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.