Healthcare Provider Details

I. General information

NPI: 1427437888
Provider Name (Legal Business Name): SUMMER M STRICKLAND FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUMMER STARR MCNEELY

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1497 FAIR RD STE 104
STATESBORO GA
30458-0822
US

IV. Provider business mailing address

PO BOX 689022
FRANKLIN TN
37068-9022
US

V. Phone/Fax

Practice location:
  • Phone: 912-871-1600
  • Fax:
Mailing address:
  • Phone: 615-465-7211
  • Fax: 615-628-6877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN141776
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN141776
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: