Cornick, Jacinda Anne
Cornick, Jacinda Anne is an individual health care provider with primary practice located at 6501 N Sheridan Rd , Peoria IL 61614-2932. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cornick, Jacinda Anne can be contacted via phone (309) 692-8110.Contact Information
Primary practice address
6501 N Sheridan Rd
Peoria IL 61614-2932
Phone: (309) 692-8110
Fax: (309) 692-8673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085-001587 | Illinois |
Profile Details
| NPI number | 1124121371 |
|---|---|
| LBN Legal business name | Cornick, Jacinda Anne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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