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Individual

MR. ROBERT E CORNETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN, CPNP-PC

Contact information

Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 934-6100
(865) 342-0100
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN120981
TN
208000000X
Pediatrics Physician
3848P
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
APN7801
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78010352
KY
Enumeration date
02/21/2007
Last updated
07/01/2016
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