Individual
MR. JEAN PANAYAUTY CORNELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
11 MAGNOLIA WAY APT 1135, PEABODY, MA 01960-8842
(857) 236-5807
Mailing address
450 MAPLE ST, DANVERS, MA 01923-4009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2303974
MA
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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