Individual provider · Type 1 NPI

Jackson Tuley Cornelison

Acute Care Nurse Practitioner · Birmingham, AL

NPI number 1154929131 Active

Practice location

619 19th St S
Birmingham, AL 35249-2338

Call (205) 934-4011 Map

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice locations

  • 1201 11th Ave S, Birmingham, AL 35205-3423 · (205) 930-7790

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X1-160696 (AL)
Acute Care Nurse Practitioner Primary 363LA2100X1-160696 (AL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1154929131

Jackson Tuley Cornelison's National Provider Identifier is 1154929131, issued on Oct 13, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Birmingham, AL. The record was last updated on Jun 30, 2023.