Provider Demographics
NPI:1659896793
Name:CUMMINGS, ZENA (FNP-C)
Entity type:Individual
Prefix:
First Name:ZENA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 451
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-0451
Mailing Address - Country:US
Mailing Address - Phone:910-674-9029
Mailing Address - Fax:
Practice Address - Street 1:2757 UNION CHAPEL ROAD
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-0451
Practice Address - Country:US
Practice Address - Phone:910-674-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009750363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner