Individual
JOHANNA J CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
919 W ZERR RD, GARDEN CITY, KS 67846
(620) 272-3600
(620) 272-3606
Mailing address
919 W ZERR RD, GARDEN CITY, KS 67846-2795
(620) 272-3600
(620) 272-3606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77674
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77674
STATE LICENSE
KS
Enumeration date
06/21/2017
Last updated
06/11/2019
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