Provider Demographics
NPI:1073809786
Name:CORNETT, JEANNE SOVEK (FNP, RN)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:SOVEK
Last Name:CORNETT
Suffix:
Gender:F
Credentials:FNP, RN
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Other - First Name:
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Mailing Address - Street 1:1850 POCAHONTAS TRL
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1657
Mailing Address - Country:US
Mailing Address - Phone:757-897-1833
Mailing Address - Fax:
Practice Address - Street 1:1850 POCAHONTAS TRL
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:VA
Practice Address - Zip Code:23141-1657
Practice Address - Country:US
Practice Address - Phone:757-897-1833
Practice Address - Fax:757-273-1133
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2024-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0001193123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0163860650Medicaid
VA0163860817Medicaid
VA0163868802Medicaid