Physician Assistant
DANIELLE CORK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1821477969 · enumerated 2015-05-21 · record updated 2017-01-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 781076, DETROIT, MI, 48278-1076 (317) 865-8133 Fax (317) 859-8239 Google Maps Apple Maps OpenStreetMap
- Practice location 1501 HARTFORD ST, LAFAYETTE, IN, 47904-2134 (765) 428-5850 Fax (765) 428-5851 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 10001791A IN
In this directory
Locations and evidence
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Practice location
LAFAYETTE, IN, 479042134
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.