Individual
MRS. JO-ANN FIDES CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., A.P.N.,C
Contact information
Practice address
211 SHREWSBURY AVE, RED BANK, NJ 07701-1250
(732) 212-0777
Mailing address
79 BATES RD, JACKSON, NJ 08527-2220
(732) 363-1339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN11355500
NJ
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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