Provider Demographics
NPI:1962596809
Name:CUMMINS-MARKS, KAREN DENISE (NNP-BC, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:DENISE
Last Name:CUMMINS-MARKS
Suffix:
Gender:F
Credentials:NNP-BC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TN
Mailing Address - Zip Code:37148-1641
Mailing Address - Country:US
Mailing Address - Phone:615-773-5077
Mailing Address - Fax:
Practice Address - Street 1:214 W LONGVIEW DR
Practice Address - Street 2:SUMNER COUNTY HEALTH DEPT.
Practice Address - City:PORTLAND
Practice Address - State:TN
Practice Address - Zip Code:37148-1641
Practice Address - Country:US
Practice Address - Phone:615-325-5327
Practice Address - Fax:615-325-5549
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011973363LF0000X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal