Provider Demographics
NPI:1700669686
Name:CUMMINGS, KELSEY J (DNP, AGPCNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:J
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:DNP, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 MCGRATH BLVD APT 524
Mailing Address - Street 2:
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-8748
Mailing Address - Country:US
Mailing Address - Phone:845-323-1045
Mailing Address - Fax:
Practice Address - Street 1:2131 K ST NW STE 800
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1888
Practice Address - Country:US
Practice Address - Phone:202-715-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP500013820363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health