Provider Demographics
NPI:1447450044
Name:CUMMINGS, JENNIFER ARWEN (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ARWEN
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:211 GOUGH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-5946
Mailing Address - Country:US
Mailing Address - Phone:415-760-6950
Mailing Address - Fax:415-236-6237
Practice Address - Street 1:211 GOUGH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5946
Practice Address - Country:US
Practice Address - Phone:415-760-6950
Practice Address - Fax:415-236-6237
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA893532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry