Cummings, Jessica L

Cummings, Jessica L is an individual health care provider with primary practice located at 56 Club Manor Dr Suite 100, Pueblo CO 81008-1685. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cummings, Jessica L can be contacted via phone (719) 584-4767.

Contact Information

Primary practice address
56 Club Manor Dr Suite 100 Pueblo CO 81008-1685
Phone: (719) 584-4767
Fax: (719) 595-7906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-10013 Colorado

Profile Details

NPI number 1366672719
LBN Legal business name Cummings, Jessica L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2009
Last updated Feb 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366672719 NPPES
Colorado MEDICAID 56421524

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