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NPI Code Detail

MEDICARE: SUMMIT POINT HEALTH LLC

MEDICARE: SUMMIT POINT HEALTH LLC
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1902757453
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT POINT HEALTH LLC
Provider Business Mailing Address
First Line : 2120 N WHITEHILL DR
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-3732
Country : US
Telephone Number : 816-419-3653
Fax Number :
Provider Business Practice Location Address
First Line : 2120 N WHITEHILL DR
Second Line :
City : PETERSBURG
State : VA
Zip : 23803-3732
Country : US
Telephone Number : 816-419-3653
Fax Number :
Authorized Official
Title or Position : FNP
Name : STELLA NGETICH
Credential : NGETICH
Telephone Number : 816-419-3653
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “SUMMIT POINT HEALTH LLC ” Practice Location

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