Individual
JEFFREY S CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
421 WEST COLLEGE ST, INFANTS AND CHILDRENS CLINIC PC, FLORENCE, AL 35630
(256) 764-9522
(256) 764-1139
Mailing address
421 WEST COLLEGE ST, INFANTS AND CHILDRENS CLINIC PC, FLORENCE, AL 35630
(256) 764-9522
(256) 764-1139
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1078351
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51093255
BC
AL
05
—
891002770
—
AL
Enumeration date
08/04/2006
Last updated
01/13/2011
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