Individual
JAMIE KAYE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, NNP
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-8413
(309) 268-2820
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021162
IL
363LN0000X
Neonatal Nurse Practitioner
209.021162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.021162
LICENSE
IL
Enumeration date
09/23/2020
Last updated
10/27/2025
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