Individual provider · Type 1 NPI

Jacqueline Summerall

Licensed Practical Nurse · Orlando, FL

NPI number 1912844762 Active

Practice location

1561 S Alafaya Trl Ste 200
Orlando, FL 32828-8956

Call (407) 961-6229 Map

Fax (833) 528-6509

Mailing address

117 Boyce Ct
Nashville, TN 37218-1905

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X51480 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1912844762

Jacqueline Summerall's National Provider Identifier is 1912844762, issued on Apr 30, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Orlando, FL. The record was last updated on Apr 30, 2026.