Individual
JACQUELINE SUMMERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 S ALAFAYA TRL STE 200, ORLANDO, FL 32828-8956
(407) 961-6229
(833) 528-6509
Mailing address
117 BOYCE CT, NASHVILLE, TN 37218-1905
(407) 961-6229
(833) 528-6509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51480
TN
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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