Individual
BETHANY ALISE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
874 BARNES CROSSING RD, TUPELO, MS 38804-0909
(662) 841-0002
(662) 841-0003
Mailing address
874 BARNES CROSSING RD, TUPELO, MS 38804-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902066
MS
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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