Individual
TARA LEIGH CUMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2833 BABCOCK RD STE 212, SAN ANTONIO, TX 78229-4894
(210) 960-0081
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(956) 462-2009
(956) 462-1771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1009073
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1009073
TX
363LA2100X
Acute Care Nurse Practitioner
22035
TN
363LA2200X
Adult Health Nurse Practitioner
22035
TN
364SG0600X
Gerontology Clinical Nurse Specialist
22035
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1I7735
PTAN
TX
05
—
416630802
—
TX
Enumeration date
11/20/2016
Last updated
11/05/2025
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