Individual
LISA SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
408 ALEXANDER STREET, CEDAR GROVE, WV 25309
(304) 595-1770
(304) 595-3298
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71874
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287208
—
OH
05
—
1093190431
—
WV
Enumeration date
07/28/2015
Last updated
12/03/2025
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