DEBRA JEAN CORNELIUS
NPI 1346770161
Registered Nurse - Ambulatory Care in Long Beach, CA
Active since June 14, 2017
About Debra Jean Cornelius NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA JEAN CORNELIUS (NPI 1346770161) is an individual ambulatory care provider in Long Beach, California, licensed in California (376743) and active in the NPI registry since June 2017. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1346770161
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameDEBRA JEAN CORNELIUS
Location Address1333 CHESTNUT AVELong Beach, CA 90813-2944
Mailing Address1333 Chestnut AveLong Beach, CA 90813-2944 · (562) 753-2301 · Fax (562) 753-2320
Phone(562) 753-2301
Fax(562) 753-2320
Sole ProprietorYes
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1346770161 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in CA · 376743
1333 CHESTNUT AVE, Long Beach, CA 90813
Secondary Practice Locations 2
Location 11325 Broad AveWilmington, CA 90744-2604 · Phone (310) 404-2080
Location 2711 Del Amo BlvdTorrance, CA 90502-1362 · Phone (310) 354-2262
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Obstetrics & Gynecology)
1333 CHESTNUT AVE
LONG BEACH, CA 90813
LONG BEACH, CA 90813
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346770161, enumerated as an "individual" on June 14, 2017.
The provider is located at 1333 CHESTNUT AVE LONG BEACH, CA 90813 and the phone number is (562) 753-2301.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.