Provider Demographics
NPI:1427409523
Name:CUPIT, DAVID GREGORY JR (FNP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:GREGORY
Last Name:CUPIT
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19700 HICKORY TWIG WAY APT 41
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-6249
Mailing Address - Country:US
Mailing Address - Phone:832-946-5213
Mailing Address - Fax:
Practice Address - Street 1:1563 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2543
Practice Address - Country:US
Practice Address - Phone:415-746-1940
Practice Address - Fax:415-746-1941
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61558063363LF0000X
TXAP131588363LF0000X
CA95029923363LF0000X
TX801089163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice