Individual provider · Type 1 NPI
Katherine Ethridge Summers, CPNP
Pediatric Nurse Practitioner · Ruleville, MS
NPI number
1326682998
Active
Practice location
840 N Oak Ave
Ruleville, MS 38771-3227
Mailing address
1110 Deering St
Cleveland, MS 38732-3127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 904945 (MS) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1326682998
Katherine Ethridge Summers, CPNP's National Provider Identifier is 1326682998, issued on Nov 6, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Ruleville, MS. The record was last updated on Oct 8, 2021.