Individual
JAMIE KATHERYN CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP-C, BSN, RN
Contact information
Practice address
1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084-5162
(914) 919-9200
Mailing address
230 MACEY LN, BOSSIER CITY, LA 71111-8212
(832) 607-4805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP135844
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP135844
TX
Other
Enumeration date
02/01/2018
Last updated
06/03/2024
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