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Individual
MACAELA JO CORNELISSEN
Active
Individual
MACAELA JO CORNELISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
234927
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
14025
WI
Other
Enumeration date
03/21/2021
Last updated
06/04/2026
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