MEDICARE: MRS. REBECCA LYNN SOMMERS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA1539	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881873560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA LYNN SOMMERS PA

Provider Business Mailing Address
First Line	:	1195 OLD HICKORY BLVD
Second Line	:	SUITE 103
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4239
Country	:	US
Telephone Number	:	615-373-2000
Fax Number	:	615-891-5021

Provider Business Practice Location Address
First Line	:	1195 OLD HICKORY BLVD
Second Line	:	SUITE 103
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4239
Country	:	US
Telephone Number	:	615-373-2000
Fax Number	:	615-891-5001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	12/26/2024

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Directions to “ MRS. REBECCA LYNN SOMMERS PA” Practice Location

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