Individual provider · Type 1 NPI

Ellisa Brianne Cornelius, APRN

Nurse Practitioner · Lakeland, FL

NPI number 1245118686 Active

Practice location

331 S Florida Ave Ste 201
Lakeland, FL 33801-4626

Mailing address

3607 Medulla Rd
Plant City, FL 33566-4515

Other practice locations

  • 3607 Medulla Rd, Plant City, FL 33566-4515 · (813) 629-9060

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11041237 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1245118686

Ellisa Brianne Cornelius, APRN's National Provider Identifier is 1245118686, issued on Aug 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 7, 2025.