Individual
JESSICA RAE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
201 QUEENS RD, CHARLOTTE, NC 28204-3217
(704) 372-5180
(704) 376-6280
Mailing address
325 HAWTHORNE LN STE 300, CHARLOTTE, NC 28204-2536
(704) 372-5180
(704) 376-6280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008092
NC
Other
Enumeration date
10/13/2015
Last updated
06/08/2020
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