Individual
ANA BACALLAO-CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
40114 HAMILTON RD, HAMILTON, MS 39746-9686
(662) 364-1708
Mailing address
40114 HAMILTON RD, HAMILTON, MS 39746-9686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907131
MS
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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