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JETTIE ANNE CUMMINGS N.P.

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316945355

Individual Registrant:
 JETTIE ANNE CUMMINGS N.P.
Gender: F

Location and contact information for practice:
774 ATHENS RD  LEXINGTON, GA 30648-1908 US
Tel: 706-743-8183  Fax: 706-743-3233

Contact information for business:
PO BOX 69  LEXINGTON, GA 30648-0069 US
Tel: 706-743-8183  Fax: 706-743-3233

Registration Information:
NPI: 1316945355
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GAR046865

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00510023AGA05
00665794AGA05




HEALTH CARE JOBS GA - Page 1



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