| NPI | 1710239728 |
|---|---|
| Former Name | PRISCILLA TAYLOR PARRIS MCCORMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN273541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN273541) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN273541) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2014-04-15 |