Individual
BETSY CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
Mailing address
700 SUNSET DR, GRENADA, MS 38901-4091
(662) 307-2884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
581763
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123837
—
MS
01
—
500026503
RAILROAD MEDICARE
MS
Enumeration date
06/23/2006
Last updated
05/20/2024
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