=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902301237
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KERRI E. SUMLER FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2018
-----------------------------------------------------
Last Update Date | 09/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6659 MICHIE PEBBLE HILL RD
-----------------------------------------------------
City | MICHIE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38357-5115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 731-632-1783
-----------------------------------------------------
Fax | 731-632-1786
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6659 MICHIE PEBBLE HILL RD
-----------------------------------------------------
City | MICHIE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38357-5115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 731-632-1783
-----------------------------------------------------
Fax | 731-632-1786
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 28583
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | 28583
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 28583
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------