Individual
JOANNIE R SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3310 ASPEN GROVE DR STE 203, FRANKLIN, TN 37067-2852
(615) 430-0364
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
118730
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
11432
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933779
—
AL
05
—
3635427
—
TN
01
—
4114044
BCBS
TN
01
—
4222379
BLUE CROSS/BLUE SHIELD OF TN
TN
05
—
74010349
—
KY
01
—
P00737377
RR MEDICARE
TN
Enumeration date
03/06/2007
Last updated
01/04/2024
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