Individual provider · Type 1 NPI

Bonita A. Cummins, RN

Administrator Registered Nurse · Tyler, TX

NPI number 1205448206 Active

Practice location

7922 S Broadway Ave
Tyler, TX 75703-5242

Call (903) 245-6695 Map

Mailing address

9319 Raspberry Ave
Frankston, TX 75763-4309

Specialties and licenses

Taxonomy	Code	License
Administrator Registered Nurse Primary	163WA2000X	849445 (TX)

Administrator Registered Nurse: Definition to come...

2 other providers at this address

Nathan Jackson PLLCPhysical Therapist Tyler, TX NPI 1477797033
David Nathan Jackson, PTPhysical Therapist Tyler, TX NPI 1548456502

About NPI 1205448206

Bonita A. Cummins, RN's National Provider Identifier is 1205448206, issued on Aug 20, 2020. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Tyler, TX. The record was last updated on Aug 20, 2020.