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NPI Code Detail

MEDICARE: MISSY MARIE CUMMINGS NP

MEDICARE: MISSY MARIE CUMMINGS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerRN9492435FL
2363LA2200XAdult Health Nurse Practitioner22172SC
3363LA2200XAdult Health Nurse Practitioner5010846NC
4363LA2200XAdult Health Nurse Practitioner1-084731AL
5363LA2200XAdult Health Nurse PractitionerRN276118GA

General Provider Information

NPI Number : 1699241968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISSY MARIE CUMMINGS NP
Provider Business Mailing Address
First Line : 5601 VETERANS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-9001
Country : US
Telephone Number : 256-347-2506
Fax Number :
Provider Business Practice Location Address
First Line : 5601 VETERANS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-9001
Country : US
Telephone Number : 706-321-6411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2018
Last Update Date : 01/26/2023

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