Quincy Jade Cornell Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Gardena, CA

NPI

1457037558

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

95023914 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2023-06-23

Last updated

2023-09-04