Healthcare Provider Details

I. General information

NPI: 1023938859
Provider Name (Legal Business Name): SUMMER KEMP-JENNINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BURNETT DR UNIT 4
DURANGO CO
81301-7790
US

IV. Provider business mailing address

135 BURNETT DR UNIT 4
DURANGO CO
81301-7790
US

V. Phone/Fax

Practice location:
  • Phone: 970-769-0131
  • Fax:
Mailing address:
  • Phone: 970-769-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1002432-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1698490
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: