Individual
ELLISA BRIANNE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
331 S FLORIDA AVE STE 201, LAKELAND, FL 33801-4626
(863) 329-2750
Mailing address
3607 MEDULLA RD, PLANT CITY, FL 33566-4515
(813) 629-9060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11041237
FL
Other
Enumeration date
08/25/2025
Last updated
10/07/2025
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