Jill Christine Kornegay
Nurse Practitioner - Pediatrics
2400 Sr 415
Sanford
, Florida 32771-6012
Jill Christine Kornegay
Nurse Practitioner - Pediatrics
2400 Sr 415
Sanford
, Florida 32771-6012
(407) 322-8725
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jill Christine Kornegay
- 2400 Sr 415
- Sanford, FL
- Zip : 32771-6012
- Fax : (407) 322-8725
- Phone : (407) 322-8645
Second Address
- Jill Christine Kornegay
- 2400 Sr 415
- Sanford, FL
- Zip : 32771-6012
- Fax : (407) 322-8725
- Phone : (407) 322-8645
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP 9168882 | FL |
National Provider Identifier
| NPI | 1023012846 |
|---|---|
| Provider Name | Jill Christine Kornegay |
| First Address | Sanford, FL 32771-6012 |
| Second Address | Sanford, FL 32771-6012 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.