Individual
MRS. AMANDA JANE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-7713
(740) 695-2090
(740) 695-4116
Mailing address
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-7713
(740) 695-2090
(740) 695-4116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005861RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01358
STATE LICENSE
WV
05
—
352672
—
OH
Enumeration date
05/09/2011
Last updated
04/02/2020
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