DULCE RUBI MARA CORDOVA CNP PMHNP-BC NPI 1497587406

NPI Information

  • NPI: 1497587406
  • Provider Name: DULCE RUBI MARA CORDOVA, CNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 902 WHITE ST
    JACKSON, MN
    ZIP 56143
  • Phone: (507) 350-1219

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NPI Details

Dulce Rubi Mara Cordova, CNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Jackson, MN. Dulce Rubi Mara Cordova, CNP, PMHNP-BC NPI is 1497587406. 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:

902 WHITE ST
JACKSON, MN
ZIP 56143-473
Phone: (507) 350-1219

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/19/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health11957MINNESOTAYes

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: 3/30/2025

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