NPI 1003578402

Jessica Lee Cornelius

Practitioner Personal Care Attendant Fargo, ND

Practice location

Address: 629 21st St S APT 4, Fargo, ND 58103-2487
Phone: (701) 353-9257
Mailing address: 2201 6th Ave S, Fargo, ND 58103-2411

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in North Dakota →

Registry record

NPI: 1003578402
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2021
Record last updated: 13 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.