Sophia Jo McCormack, APRN, FNP-C
Nurse Practitioner, Family in Collierville, TN. Individual provider (NPI-1).
NPI number1265044598
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1265044598
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sophia Jo McCormack
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 27772 | TN | Yes |
Practice location
832 W Poplar AveCollierville, TN 38017-4047
Phone 901-853-6428
Mailing address
250 Ashley Hall CtCollierville, TN 38017-2100
Phone 731-499-4027
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