Provider Demographics
NPI:1629206321
Name:GREGSON, SUMMER S (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:S
Last Name:GREGSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 SH-121
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:469-800-5570
Mailing Address - Fax:469-800-5580
Practice Address - Street 1:6800 SH - 121
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:469-800-5570
Practice Address - Fax:469-800-5580
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP118033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205299503Medicaid
TX205299502Medicaid
TX205299501Medicaid
TX205299503Medicaid
TX8L16865Medicare PIN
TX205299501Medicaid