Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cornelia Lane, AG-ACNP

Individual provider Nurse Practitioner · NPI 1982009049

Cornelia Lane, AG-ACNP is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
12
Licensed in
FL, NC
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 E Grover St, Shelby, NC 28150-3917 — (980) 487-3678

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11040095 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5007296 (NC)

Record details

NPI number1982009049
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedOctober 30, 2014
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address201 E Grover St, Shelby, NC 28150-3917

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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