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

Katrina Kornack, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1053156554

Katrina Kornack, FNP-BC is a Nurse Practitioner in Cherry Hill, New Jersey. Qualified in 2023, 3 years ago. Practices with Minuteclinic Diagnostic of New Jersey LLC, a 114-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

600 Kings Hwy N
Cherry Hill, NJ 08034-1505
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15084800 (NJ)

Record details

NPI number1053156554
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJune 26, 2024
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minuteclinic Diagnostic Of New Jersey Llc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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