JENNY MCCORMACK (NPI# 1912458860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912458860 |
| Entity Type | Individual |
| Full Name | JENNY MCCORMACK |
| Credential | FNP-C |
| Practice Address |
2221 Stockton Blvd Sacramento CA 95817-1418 |
| Practice Telephone | 9167347313 |
| Mailing Telephone | 9167347313 |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004732 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2221 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041698 | Regents of The Univ of Ca | Surgery | 2221 Stockton Blvd, Sacramento, CA 95817 | 2005-08-23 |
| 1770127334 | Andrew Thompson | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2019-11-06 |
| 1982187241 | Kimberly C Sosik | Physician Assistant | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-09-12 |
| 1285132175 | Gerdy Mirline Pluviose | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2018-01-25 |
| 1649704610 | Dana Tam Kilday | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2017-04-17 |
| 1013367135 | Amir Sarkeshik | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2016-06-20 |
| 1134593783 | Allison Shuken | Nurse Practitioner | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-11-19 |
| 1801277751 | Sean James Judge | Student in an Organized Health Care Education/Training Program | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2015-06-17 |
| 1215329396 | Bernadette Hystad | Physician Assistant | 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 | 2015-02-26 |
| 1336547876 | In Kang | Pharmacist | 2221 Stockton Blvd, Sacramento, CA 95817-1418 | 2014-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633500 | Mary Cobleigh Banfield | Nurse Practitioner | 1009 1/2 T St, Sacramento, CA 95811-6560 | 2020-06-10 |
| 1952926438 | Perla Zuliana Aguayo Vazquez | Nurse Practitioner | 3520 El Ricon Way, Sacramento, CA 95864-2915 | 2020-06-10 |
| 1043834302 | Lacey Elizabeth Watson | Nurse Practitioner | 3710 J St Ste 201, Sacramento, CA 95816-5519 | 2020-06-02 |
| 1467081513 | Meeri Kim | Nurse Practitioner | 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 | 2020-04-01 |
| 1134763238 | Mary Dicou | Nurse Practitioner | 1747 N Market Blvd, Sacramento, CA 95834-2978 | 2019-10-31 |
| 1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
| 1669942538 | Inna Dariychuk | Nurse Practitioner | 500 Howe Avenue, Suite 100, Sacramento, CA 95825 | 2018-12-04 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1770091621 | Rane Nathan Beal | Nurse Practitioner | 209 29th St Ste B, Sacramento, CA 95816-3271 | 2018-01-12 |
| 1730698846 | Olivia Rapozo | Nurse Practitioner | 4860 Y St # 3400, Sacramento, CA 95817-2307 | 2017-09-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on JENNY MCCORMACK.
| 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.