Mccormick, John Tucker
Mccormick, John Tucker is an individual health care provider with primary practice located at 4375 N Vantage Dr Ste 305 , Fayetteville AR 72703-4984. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Mccormick, John Tucker can be contacted via phone (479) 443-5100.Contact Information
Primary practice address
4375 N Vantage Dr Ste 305
Fayetteville AR 72703-4984
Phone: (479) 443-5100
Fax: (479) 443-5117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4941 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA061232 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-747 | Arkansas |
Profile Details
| NPI number | 1477066926 |
|---|---|
| LBN Legal business name | Mccormick, John Tucker |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2017 |
| Last updated | Feb 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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