Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACINDA ANNE CORNICK, PA
ActiveJACINDA ANNE CORNICK, PA is a Medical Physician Assistant healthcare provider located in PEORIA, Illinois. NPI 1124121371 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PEORIA, IL
Registration Details
- NPI Number
- 1124121371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2006 (19.912834378369 yrs)
- Last Updated
- Jul 8, 2007
- License
-
085-001587 (IL)
Practice Information
- Address
-
6501 N SHERIDAN RDPEORIA, IL, 616142932Browse IL providers · Browse ZIP 61614
- Phone
- 3096928110
- Fax
- 3096928673
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| STUART HOLLAND BERRYMAN | PA-C | 1093774705 |
| REBECCA ULTCH | PA | 1821054297 |
| JANE KALMES | P.A. | 1205876166 |
| MRS. LEANN B YOUNG | PAC | 1104835768 |
| MRS. ELIZABETH D MOORE | PA | 1265543391 |
| MR. DANNY M COX | PAC | 1710099841 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.