Individual
JENNIFER LEE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2096
(215) 335-6000
Mailing address
1246 S CARLISLE ST, PHILADELPHIA, PA 19146-3121
(267) 456-0916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
VP005734C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
VP005734C
PA
Other
Enumeration date
08/30/2018
Last updated
09/13/2023
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