Karen Denise Cummins-Marks, NNP-BC, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Portland, TN

NPI 1962596809 · NPPES record last updated Sep 13, 2011

Key facts

NPI
1962596809
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APN0000011973 (TN)
Practice address
214 W Longview Dr
Sumner County Health Dept.
Portland, TN 37148-1641
Phone
(615) 325-5327
Fax
(615) 325-5549
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
APN0000011973TNMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000011973 TN Yes
Neonatal Nurse Practitioner 363LN0000X APN0000011973 TN

Addresses

Primary practice location

214 W Longview Dr
Sumner County Health Dept.
Portland, TN 37148-1641

Mailing address

214 W Longview Dr
Portland, TN 37148-1641
Phone (615) 773-5077

Other providers in Portland, TN

All providers in Portland, TN · Family Nurse Practitioner in Tennessee

Sources for this page

Verify at the official NPI Registry.