Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN TUCKER MCCORMICK, PA-C
ActiveMedical Physician Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1477066926
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2017 (8.4549751571501 yrs)
- Last Updated
- Feb 16, 2024
- Licenses
-
4941 (OK)MA061232 (PA)PA-747 (AR)
Practice Information
- Address
-
4375 N VANTAGE DR STE 305FAYETTEVILLE, AR, 727034984Browse AR providers · Browse ZIP 72703
- Phone
- 4794435100
- Fax
- 4794435117
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. JON SCOTT KELLER | PA-C | 1538181078 |
| MS. JANICE RUTH SMITH | PA-C | 1528077021 |
| MR. KENT DOUGLAS ENDERLE | PA-C | 1922116946 |
| MS. ANNA MARIE WHITE | PHYSICIAN ASSISTANT | 1083719181 |
| MRS. LISA ALDRIN ROJESKI | PA-C | 1366524092 |
| LAURA LYNN JACKSON | PA-C | 1770817421 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.