Individual provider · Type 1 NPI
Olivia Kelly Cornwell, MSN, CPNP-AC, CPHON
Pediatric Nurse Practitioner · New Orleans, LA
NPI number
1235699638
Active
Practice location
200 Henry Clay Ave
New Orleans, LA 70118-5720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN145397 (LA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 221734 (LA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1235699638
Olivia Kelly Cornwell, MSN, CPNP-AC, CPHON's National Provider Identifier is 1235699638, issued on Mar 21, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Orleans, LA. The record was last updated on Aug 23, 2021.