Individual
KIMBERLY BEASLEY CORNELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3056 HEALTHY WAY STE 100, BIRMINGHAM, AL 35243
(205) 995-9909
(205) 930-2063
Mailing address
3056 HEALTHY WAY STE 100, BIRMINGHAM, AL 35243-2435
(205) 995-9909
(205) 930-2063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-131123
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-131123
AL
Other
Enumeration date
03/23/2015
Last updated
06/30/2023
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