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

Penny S Cornelius, PA

Individual provider Physician Assistant · NPI 1184609331

Penny S Cornelius, PA is a Physician Assistant in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2618 Forestville Dr
Green Bay, WI 54304-1358
Phone: (920) 496-1631
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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 696-023 (WI)

Record details

NPI number1184609331
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESNovember 11, 2008

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