Individual
KRISTEN ELIZABETH CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AG-ACNP, CV-BC
Contact information
Practice address
53 GORDON RD STE 102, JASPER, GA 30143-1017
(678) 513-2273
(678) 513-8869
Mailing address
3970 DEP BILL CANTRELL MEMORIAL RD, CUMMING, GA 30040-3011
(678) 513-2273
(678) 513-8869
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN278770
GA
363LG0600X
Gerontology Nurse Practitioner
RN278770
GA
Other
Enumeration date
03/14/2024
Last updated
03/06/2025
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