SIMONE MCCORMACK APRN NPI 1245994011

NPI Information

NPI: 1245994011
Provider Name: SIMONE MCCORMACK, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: NEWBURGH URGENT CARE LLC

PECOS Registration: Yes

Address:
3245 MOUNT MORIAH AVE STE 10
OWENSBORO, KY
ZIP 42303
Phone: (270) 663-0955
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Simone Mccormack, APRN is a family nurse practitioner in Owensboro, KY with 3 years of experience. Simone Mccormack, APRN NPI is 1245994011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3245 MOUNT MORIAH AVE STE 10
OWENSBORO, KY
ZIP 42303-834
Phone: (270) 663-0955

The NPI 1245994011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3016673	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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