Individual
HEATHER M CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1949 LANSING AVE, SUITE 'B', JACKSON, MI 49202-2190
(517) 784-2929
Mailing address
718 21ST ST, JACKSON, MI 49203-1314
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092911
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703092911
NURSING LIC.
MI
Enumeration date
05/23/2007
Last updated
07/08/2007
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