Individual
SUMMER ELIZABETH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
202 NEELYS BEND RD, MADISON, TN 37115-4729
(818) 749-7682
Mailing address
202 NEELYS BEND RD, MADISON, TN 37115-4729
(818) 749-7682
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000033989
TN
Other
Enumeration date
06/02/2023
Last updated
02/28/2024
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