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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELLIE CORNELIUS, PA

Active

SHELLIE CORNELIUS, PA is a Physician Assistant healthcare provider located in TALLAHASSEE, Florida. NPI 1134107352 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TALLAHASSEE, FL

Registration Details

NPI Number
1134107352
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2006 (20.421306616488 yrs)
Last Updated
Feb 13, 2019
Licenses
0110840579 (VA)
PA9106607 (FL)

Practice Information

Address
1541 MEDICAL DR
TALLAHASSEE, FL, 323084615
Browse FL providers · Browse ZIP 32308
Phone
8504317805
Fax
8504317809
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in TALLAHASSEE, FL

Name Credential NPI
STEVEN C JUDGE PA-C 1285637850
LESLEY MAPLES PA-C 1578566121
JOEL LEDFORD PA-C 1164425732
BRIAN PARKER PA-C 1992708549
ROBERT BRIAN DARSEY P.A.-C. 1487634168
MELISSA HOPE PORTER P.A.-C. 1124008602
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.