Individual
DR. JAMMIE DAWN CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
2024 BLACK JACK LOOP, UNIT A, CHEYENNE, WY 82001-7272
(256) 200-1192
Mailing address
33 ROSE LOOP, FORT LEAVENWORTH, KS 66027-1147
(256) 200-1192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28495.1059
WY
363LA2100X
Acute Care Nurse Practitioner
Primary
28495.1059
WY
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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