Individual
JENNIFER CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, AGNP-C
Contact information
Practice address
3 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-8000
Mailing address
3 GUTHRIE DR, CORNING, NY 14830-3696
(607) 973-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
526598
NY
363L00000X
Nurse Practitioner
Primary
308448
NY
363LA2200X
Adult Health Nurse Practitioner
308448
NY
Other
Enumeration date
03/10/2017
Last updated
03/05/2021
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