Individual
IVY ANN CORNELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2229 PIERCE AVE, NASHVILLE, TN 37232-0001
(615) 936-8422
Mailing address
2700 CHARLOTTE AVE APT 206, NASHVILLE, TN 37209-4059
(708) 308-8820
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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