Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carol Ann Cornett, PA-C

Individual provider Medical Physician Assistant · NPI 1639426752

Carol Ann Cornett, PA-C is a Medical Physician Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Florida and Missouri.

Licensed in
FL, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8612 Olive Blvd
Saint Louis, MO 63132-2504
Phone: (314) 692-8055
Fax: (314) 692-5513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2017029444 (MO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 9106633 (FL)

Record details

NPI number1639426752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 8, 2012
Last updated in NPPESDecember 6, 2017

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