person
Quincy Jade Cornell
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1457037558

Quincy Jade Cornell is a Psychiatric/Mental Health Nurse Practitioner based in San Francisco, CA and is specialized in Psychiatric/Mental Health. Quincy Jade Cornell practices in Gardena, CA. The NPI Number for Quincy Jade Cornell is 1457037558 and holds a License No. 95023914 (California).

The current practice location address for Quincy Jade Cornell is 1225 W 190Th Street Suite 280, Gardena, CA and can be reached out via phone at 877-515-8113 and via fax at 877-538-2102.

Location: 1225 W 190Th Street Suite 280, Gardena, CA, 94134-1637
person
Provider Profile Details
NPI Number
1457037558
Provider Name
Quincy Jade Cornell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1225 W 190Th Street Suite 280, Gardena, CA, 94134-1637
Phone Number
877-515-8113
Fax Number
877-538-2102
Provider Enumeration Date
06/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th Street Suite 280
City
State
Zip
90248-2820
Phone Number
877-515-8113
Fax Number
877-538-2102
person
Provider Business Mailing Address Details
Address
1225 W 190Th Street Suite 280
City
State
Zip
90248-2820
Phone Number
877-515-8113
Fax Number
877-538-2102
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95023914 (California)
Definition
Definition to come...
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