Individual
JEANNE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025-1737
(212) 523-2965
(212) 636-1303
Mailing address
1090 AMSTERDAM AVE, SUITE 16C, NEW YORK, NY 10025-1737
(212) 523-2965
(212) 636-1303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
363LP0808X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02132901
—
NY
Enumeration date
07/11/2006
Last updated
07/09/2007
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