Individual
MISS SHENAE AUDRIANA CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
2500 N. STATE STREET, JACKSON, MS 39216
(601) 984-5607
(601) 984-6601
Mailing address
2500 N. STATE STREET, JACKSON, MS 39216
(601) 984-5607
(601) 984-6601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
02/10/2025
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