Individual
TAMMY CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1800 AL HIGHWAY 157, SUITE 101, CULLMAN, AL 35058-1271
(256) 734-1012
(256) 739-3450
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 736-5505
(256) 736-5551
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-066972
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117960
—
AL
01
—
E869
GRP MDCR
—
Enumeration date
03/08/2010
Last updated
12/09/2020
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