Individual
JACQUELINE SUE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
210 9TH ST, SHELTON, NE 68876-9639
(308) 647-5459
Mailing address
PO BOX 610, SHELTON, NE 68876-0610
(308) 647-5459
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
44436
NE
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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