TAMMY CORNELIUS CRNP NPI 1366765232

NPI Information

NPI: 1366765232
Provider Name: TAMMY CORNELIUS, CRNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: CULLMAN PRIMARY CARE, PC

PECOS Registration: Yes

Address:
1800 AL HIGHWAY 157
SUITE 101
CULLMAN, AL
ZIP 35058
Phone: (256) 734-1012
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Tammy Cornelius, CRNP is a primary care nurse practitioner in Cullman, AL with 17 years of experience. Tammy Cornelius, CRNP NPI is 1366765232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1800 AL HIGHWAY 157
SUITE 101
CULLMAN, AL
ZIP 35058-271
Phone: (256) 734-1012
Fax: (256) 739-3450

The NPI 1366765232 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 12/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	1-066972	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E869	OTHER		GRP MDCR
2	117960	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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