Individual
MS. CANDACE MARIE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
5019 N COLLEGE AVE, INDIANAPOLIS, IN 46205-1133
(260) 312-8262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
317212
NC
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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