National Provider Identifier

Jennifer McCormick, NP

Jennifer McCormick, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Penfield, NY and a listed phone number of (585) 377-5420.

NPI 1801248901Penfield, NYFamily Nurse Practitioner

Profile Overview

NPI
1801248901
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 13, 2016
Last Updated
July 06, 2021

Practice Location

  • 43 Willow Pond Way
  • Suite 200
  • Penfield, NY 14526-2638

Phone: (585) 377-5420

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1801248901
Entity Type
Individual
Last Name
McCormick
First Name
Jennifer
Name Prefix
Mrs.
Credential
NP
Mailing Street Address
43 Willow Pond Way
Mailing Address Line 2
Suite 200
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2638
Mailing Country
US
Mailing Phone
(585) 377-5420
Mailing Fax
(585) 377-3690
Practice Street Address
43 Willow Pond Way
Practice Address Line 2
Suite 200
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2638
Practice Country
US
Practice Phone
(585) 377-5420
Practice Fax
(585) 377-3690
Enumeration Date
July 13, 2016
Last Updated
July 06, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
July 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)