Organization
FUSION HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE K CORNWELL CNP (OWNER)
(575) 302-6683
Entity
Organization
Contact information
Practice address
2402 W PIERCE ST STE 6G, STE 6G, CARLSBAD, NM 88220-3566
(575) 628-0331
(575) 628-0332
Mailing address
2402 W PIERCE ST STE 6G, STE 6G, CARLSBAD, NM 88220-3566
(575) 628-0331
(575) 628-0332
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP01235
NM
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43580874
—
NM
Enumeration date
09/26/2014
Last updated
09/09/2020
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