1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Technician
  6. NPI Profile

JESSICA LEE CORNELIUS
NPI 1003578402
Technician - Personal Care Attendant in Fargo, ND

Active since October 13, 2021
629 21ST ST S APT 4, FARGO, ND 58103(701) 353-9257 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Lee Cornelius NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LEE CORNELIUS (NPI 1003578402) is an individual personal care attendant in Fargo, North Dakota and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1003578402
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameJESSICA LEE CORNELIUS
Location Address629 21ST ST S APT 4Fargo, ND 58103-2487
Mailing Address2201 6th Ave SFargo, ND 58103-2411 · (701) 515-8117
Phone(701) 353-9257
Sole ProprietorYes
Enumeration DateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1003578402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
629 21ST ST S APT 4, Fargo, ND 58103
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Lee Puckett

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Cornelius's NPI number?

The NPI number for Jessica Cornelius is 1003578402. It was assigned to this individual provider in the NPPES registry on October 13, 2021. The provider is also known as Jessica Lee Puckett.

Where is Jessica Cornelius located?

Jessica Cornelius practices at 629 21st St S Apt 4, Fargo, ND 58103. The listed phone number is (701) 353-9257.

What is Jessica Cornelius's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jessica Cornelius was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.