Healthcare Provider Details

I. General information

NPI: 1659585826
Provider Name (Legal Business Name): JULIE SUMNER ACNP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE DYKES APRN, BC

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 21ST AVE SOUTH SUITE #801 OXFORD HOUSE
NASHVILLE TN
37232-4753
US

IV. Provider business mailing address

1313 21ST AVE SOUTH SUITE #801 OXFORD HOUSE
NASHVILLE TN
37232-4753
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-5321
  • Fax: 615-936-2787
Mailing address:
  • Phone: 615-936-5321
  • Fax: 615-936-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN0000007525
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: