Individual provider · Type 1 NPI
Dulce Rubi Mara Cordova, CNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Jackson, MN
NPI number
1497587406
Active
Practice location
902 White St
Jackson, MN 56143-1473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11957 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1497587406
Dulce Rubi Mara Cordova, CNP, PMHNP-BC's National Provider Identifier is 1497587406, issued on Aug 19, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Jackson, MN. The record was last updated on Aug 19, 2024.