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Teresa Cornelius

Registered Nurse in Tyler, TX. Individual provider (NPI-1).

NPI number1336770643
StatusActive
Last updated in NPPESJan 27, 2020

Details

NPI
1336770643
Entity type
Individual (NPI-1)
Name
Teresa Cornelius
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2020
Certification date
Jan 27, 2020
Last updated
Jan 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse798455TXYes

Practice location

9846 Highway 31 E
Tyler, TX 75705-2329

Phone 903-592-8001

Mailing address

9846 Highway 31 E
Tyler, TX 75705-2329

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