NPI 1982610739 · live from the CMS NPI Registry
Jason R Cornelius, MD
Psychiatry & Neurology, Neurology in Maple Grove, MN. National Provider Identifier 1982610739, active.
NPI record
| NPI | 1982610739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 |
| Practice phone | 763-302-4114 |
| Enumerated | August 1, 2006 |
| Last updated | May 18, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Sleep Medicine | 2084S0012X | 48590 (MN) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 48590 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.