# FUSION HEALTH & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336542992
- **Authorized official:** JANE K CORNWELL CNP (OWNER)
- **Authorized official phone:** (575) 302-6683

## Contact information

- **Practice address:** 2402 W PIERCE ST STE 6G, STE 6G, CARLSBAD, NM 88220-3566
- **Practice address phone:** (575) 628-0331
- **Practice address fax:** (575) 628-0332
- **Mailing address:** 2402 W PIERCE ST STE 6G, STE 6G, CARLSBAD, NM 88220-3566
- **Mailing address phone:** (575) 628-0331
- **Mailing address fax:** (575) 628-0332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | CNP01235 | NM | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/26/2014
- **Last updated:** 09/09/2020