Provider Demographics
NPI:1265130918
Name:CUMMINGS, KARA BLANKENSHIP
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:BLANKENSHIP
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:REBECCA
Other - Last Name:BLANKENSHIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:684 JUSTICE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-9589
Mailing Address - Country:US
Mailing Address - Phone:828-280-3691
Mailing Address - Fax:
Practice Address - Street 1:98 DOCTORS DR STE 100
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-4502
Practice Address - Country:US
Practice Address - Phone:828-631-8755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017740363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily