Provider Demographics
NPI:1376221994
Name:SUMNER, CHRISTY LEIGH (APRN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:LEIGH
Last Name:SUMNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1362 COUNTY ROAD 322
Mailing Address - Street 2:
Mailing Address - City:VICKERY
Mailing Address - State:OH
Mailing Address - Zip Code:43464-9714
Mailing Address - Country:US
Mailing Address - Phone:419-603-8117
Mailing Address - Fax:
Practice Address - Street 1:525 METRO PL N STE 300
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5320
Practice Address - Country:US
Practice Address - Phone:855-289-1722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0034290363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health