Individual
AUDRA L SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 285-8392
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4712P
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71002077A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487872636
NPI GROUP #
—
Enumeration date
03/20/2006
Last updated
08/15/2015
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