Individual
MS. JOY DENISE CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
351 PASCOE BLVD STE 100, BOWLING GREEN, KY 42104-6302
(270) 935-5234
(270) 935-5173
Mailing address
351 PASCOE BLVD STE 100, BOWLING GREEN, KY 42104-6302
(270) 935-5234
(270) 935-5173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3003875
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3003875
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78009412
—
KY
Enumeration date
11/28/2005
Last updated
05/09/2024
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