Provider Demographics
NPI:1396803177
Name:CORNALI, JAMIE FRASSENEI (FNP-C)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:FRASSENEI
Last Name:CORNALI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:FRASSENEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:810 CLAIRTON BLVD STE 500600
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-5505
Mailing Address - Country:US
Mailing Address - Phone:412-650-1100
Mailing Address - Fax:
Practice Address - Street 1:810 CLAIRTON BLVD STE 500600
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-5505
Practice Address - Country:US
Practice Address - Phone:412-650-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008699363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2983302OtherHIGHMARK BLUE SHIELD-FREEDOM BLUE
PA1620858OtherGATEWAY MEDICARE ASSURED
PA194916FLTMedicare PIN