Provider Demographics
NPI:1154900637
Name:CUMMINGS, KALEENA SAMPSON (RN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KALEENA
Middle Name:SAMPSON
Last Name:CUMMINGS
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Gender:F
Credentials:RN, FNP-C
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Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
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Practice Address - Street 1:923 W 3RD ST STE C
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-9629
Practice Address - Country:US
Practice Address - Phone:910-521-0564
Practice Address - Fax:910-521-4088
Is Sole Proprietor?:No
Enumeration Date:2021-04-03
Last Update Date:2024-03-05
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Provider Licenses
StateLicense IDTaxonomies
NC226320363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily