Individual
JACLYN HEINZE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631
(970) 810-3894
(970) 810-3897
Mailing address
1801 16TH ST, GREELEY, CO 80631
(970) 810-3894
(970) 810-3897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3456
CO
Other
Enumeration date
06/19/2012
Last updated
02/10/2025
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