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NPI Code Detail

MEDICARE: MRS. JANE SUMMER

MEDICARE:  MRS. JANE  SUMMER
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
1363LS0200XSchool Nurse Practitioner561473CA

General Provider Information

NPI Number : 1225244734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANE SUMMER
Provider Business Mailing Address
First Line : 1000 EUCLID AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1980 ALLSTON WAY # H104
Second Line :
City : BERKELEY
State : CA
Zip : 94704-1463
Country : US
Telephone Number : 510-644-6965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. JANE SUMMER ” Practice Location

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