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Individual

MRS. CHERYL G. LUMMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,CDE

Contact information

Practice address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
(573) 582-1212
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
143916
MO
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2012005566
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143916
NURSING LICENSE
MO
01
2012005566
CLINICAL NURSE SPECIALIST
MO
01
2041-0485
CERTIFIED DIABETES EDUCA
MO
Enumeration date
06/23/2006
Last updated
03/22/2024
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