Individual provider · Type 1 NPI

Quincy Jade Cornell

Psychiatric/Mental Health Nurse Practitioner · Gardena, CA

NPI number 1457037558 Active

Practice location

1225 W 190th Street Suite 280
Gardena, CA 90248-2820

Call (877) 515-8113 Map

Fax (877) 538-2102

Mailing address

663 Cambridge St
San Francisco, CA 94134-1637

Other practice locations

  • 14541 Delano St, Van Nuys, CA 91411-2820 · (877) 515-8113

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95023914 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1457037558

Quincy Jade Cornell's National Provider Identifier is 1457037558, issued on Jun 23, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gardena, CA. The record was last updated on Sep 4, 2023.