Individual
JENNA M MCCUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
439 S ROSS ST, BEAVERTON, MI 48612-9101
(989) 246-3500
Mailing address
439 S ROSS ST, BEAVERTON, MI 48612-9101
(989) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704275966
MI
Other
Enumeration date
12/04/2018
Last updated
08/28/2019
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