Cornwell, Jane K
Cornwell, Jane K is an individual health care provider with primary practice located at 2402 W Pierce St Suite 4-A, Carlsbad NM 88220-3537. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Cornwell, Jane K can be contacted via phone (505) 234-9964.Contact Information
Primary practice address
2402 W Pierce St Suite 4-A
Carlsbad NM 88220-3537
Phone: (505) 234-9964
Fax: (505) 234-9962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R49802 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | CNP01235 | New Mexico |
Profile Details
| NPI number | 1659362655 |
|---|---|
| LBN Legal business name | Cornwell, Jane K |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Mar 30th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659362655 | NPPES |
| New Mexico | MEDICAID | 43580874 |
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