Jessica Cornell

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

349916 Issued in TX

Practice address

3804 Williams Trace Dr
Bryan, TX 77808-2252

Phone

(979) 739-0800

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1417597253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 DAIRY ASHFORD RD STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793035",
            "telephone_number": "713-799-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 WILLIAMS TRACE DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778082252",
            "telephone_number": "979-739-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 Williams Trace Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778082252",
            "country_code": "US",
            "telephone_number": "979-739-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "349916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Nicholus Cooper, LPC, LMFT
• William Cooper, PA-C
• Carole L Copeland, RPH
• Casey Cordova
• Sabra Cordray
• Cornerstone Medical Specialists, PLLC
• Jesus Alfredo Correa, M.D.
• Yangel Correa, OTA
• Julio Cortez, RBT
• Marnie Cosse', LPC, LCDC

• Licensed Vocational Nurse in Bryan, TX
• Providers in Bryan, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.