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JENNIFER MCCORMACK APRN
NPI 1073170668
Nurse Practitioner - Family in Desoto, TX

Active since May 20, 2019
2715 BOLTON BOONE DR STE B, DESOTO, TX 75115(972) 780-8009(972) 780-6115 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Mccormack Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MCCORMACK APRN (NPI 1073170668) is an individual family provider in Desoto, Texas, licensed in Texas (AP141637) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1073170668
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER MCCORMACKCredential: APRN
Location Address2715 BOLTON BOONE DR STE BDesoto, TX 75115-2079
Mailing Address2715 Bolton Boone Dr Ste BDesoto, TX 75115-2079 · (972) 780-8009 · Fax (972) 780-6115
Phone(972) 780-8009
Fax(972) 780-6115
Sole ProprietorNo
Enumeration DateMay 20, 2019
✔ NPI 1073170668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP141637
2715 BOLTON BOONE DR STE B, Desoto, TX 75115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mccormack's NPI number?

The NPI number for Jennifer Mccormack is 1073170668. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Jennifer Mccormack located?

Jennifer Mccormack practices at 2715 Bolton Boone Dr Ste B, Desoto, TX 75115. The listed phone number is (972) 780-8009.

What is Jennifer Mccormack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Jennifer Mccormack accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jennifer Mccormack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Mccormack was last updated on May 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.