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General NPI Number Information
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NPI Number | 1740435353
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Entity Type | Individual
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Provider Name | JESSICA LORRAINE CUMMINGS NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 20470 N LAKE PLEASANT RD STE 106
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City | PEORIA
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State | AZ
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Zip | 85382-9708
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Country | US
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Telephone | 623-226-8455
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Fax | 623-401-6924
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Provider Business Mailing Address
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Address Line | 20280 N 59TH AVE STE 115-525
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City | GLENDALE
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State | AZ
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Zip | 85308-6850
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Country | US
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Telephone | 623-226-8455
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Fax | 623-401-6924
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 234488
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71002838A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 234488
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License Number State | AZ
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