Basic Information
Provider Information
NPI: 1689066599
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUMMINGS
FirstName: JOYCE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 726 S CHURCH ST
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371304926
CountryCode: US
TelephoneNumber: 6158937786
FaxNumber: 6158934811
Practice Location
Address1: 726 S CHURCH ST
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 37130
CountryCode: US
TelephoneNumber: 6158937786
FaxNumber: 6158934811
Other Information
ProviderEnumerationDate: 03/02/2015
LastUpdateDate: 03/02/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPN0000012942TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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