Individual
CORINNA L JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5560 KIETZKE LN, BLDG A, RENO, NV 89511-3019
(775) 322-7811
(775) 322-1431
Mailing address
5560 KIETZKE LN, BLDG A, RENO, NV 89511-3019
(775) 322-7811
(775) 322-1431
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA996
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982710349
—
NV
Enumeration date
08/21/2006
Last updated
06/10/2024
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