MS. JENNIFER JANE MCCORMICK (NPI# 1669423323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669423323 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER JANE MCCORMICK |
| Credential | PA |
| Practice Address |
300 N Commercial St Suite 200 Neenah WI 54956-2619 |
| Mailing Address |
670 Cormier Rd Green Bay WI 54304-4824 |
| Practice Telephone | 9208860818 |
| Practice Fax Number | 9208860773 |
| Mailing Telephone | 9204949685 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1908 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42875200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700322377 | Jennifer Lynne Mccormick | Behavioral Analyst | 1163 Old Colony Rd Unit 6, Wallingford, CT 06492-1783 | 2017-01-06 |
| 1144467622 | Jennifer M Mccormick | Occupational Therapist | 24689 Kings Canyon Sq, Stone Ridge, VA 20105-2988 | 2009-01-20 |
| 1497299887 | Jennifer Mccormick | Student in an Organized Health Care Education/Training Program | 1601 N Goldenrod Rd, Orlando, FL 32807-8308 | 2016-12-05 |
| 1801248901 | Jennifer Mccormick | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-07-13 |
| 1790139582 | Jennifer Mccormick | Speech-Language Pathologist | 3890 Woodridge Dr, The Villages, FL 32162-7186 | 2016-04-18 |
| 1386028298 | Jennifer Mccormick | Social Worker | 22 Harrison St, Suite 101, Johnson City, NY 13790-2142 | 2015-07-10 |
| 1710162672 | Jennifer A Mccormick | Marriage & Family Therapist | 15611 Pomerado Rd, Ste 535, Poway, CA 92064-2437 | 2008-01-09 |
| 1033235429 | Jennifer Mccormick | Occupational Therapist | 1361 Route 72 W, Manahawkin, NJ 08050-2417 | 2007-03-21 |
| 1821162819 | Jennifer Ruth Mccormick | Counselor | 1959 Ne Pacific St, Box 356125, Seattle, WA 98195-0001 | 2006-11-20 |
| 1548272685 | Jennifer Mccormick | Obstetrics & Gynecology | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2006-08-13 |
| Street Address |
300 N COMMERCIAL ST SUITE 200 |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848423 | Laura Stafford | Nurse Practitioner | 300 N Commercial St, Neenah, WI 54956-2619 | 2020-07-14 |
| 1164976874 | Nicole Becher | Nurse Practitioner | 300 N Commercial St, 2, Neenah, WI 54956-2619 | 2016-08-10 |
| 1588904270 | Vitality Me | Clinic/Center | 300 N Commercial St, Suite 2, Neenah, WI 54956-2619 | 2013-02-18 |
| 1114231974 | Sheryl A Gauthier | Physician Assistant | 300 N Commercial St, 2, Neenah, WI 54956-2619 | 2010-08-03 |
| 1093820854 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 300 N Commercial St, Neenah, WI 54956-2619 | 2006-08-20 |
| 1891713756 | Fox Valley Nephrology Ptr Sc | Clinic/Center | 300 N Commercial St, 200, Neenah, WI 54956-2619 | 2006-07-18 |
| 1629014790 | Atif A Qureshi | Internal Medicine | 300 N Commercial St, Ste 200, Neenah, WI 54956-2619 | 2006-06-20 |
| 1235173121 | Kim R Riess-sagers | Internal Medicine | 300 N Commercial St, Suite 200, Neenah, WI 54956-2619 | 2006-06-15 |
| 1689618589 | Osaid K Ahmad | Internal Medicine | 300 N Commercial St, Ste 200, Neenah, WI 54956-2619 | 2006-06-15 |
| 1487698387 | David W Koeper | Internal Medicine | 300 N Commercial St, Suite 200, Neenah, WI 54956-2619 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316907546 | Anne M Schultz | Physician Assistant | 200 Theda Clark Medical Plz, Suite 310, Neenah, WI 54956-2721 | 2006-03-23 |
| 1609835495 | Daniel A Lemmens | Physician Assistant | 200 Theda Clark Medical Plz, Suite 310, Neenah, WI 54956-2721 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| Find all providers with the same taxonomy | ||||
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| 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.