Provider Demographics
NPI:1447763156
Name:CUMMINGS, SHEILA (CRNP, APN)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CRNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3130
Mailing Address - Country:US
Mailing Address - Phone:856-650-7308
Mailing Address - Fax:
Practice Address - Street 1:106 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-3130
Practice Address - Country:US
Practice Address - Phone:856-650-7308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00798700363LG0600X, 207QA0505X, 202D00000X
PASP018121363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine