Provider Demographics
NPI:1659585826
Name:SUMNER, JULIE (ACNP, BC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SUMNER
Suffix:
Gender:F
Credentials:ACNP, BC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:DYKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, BC
Mailing Address - Street 1:1313 21ST AVE SOUTH
Mailing Address - Street 2:SUITE #801 OXFORD HOUSE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-4753
Mailing Address - Country:US
Mailing Address - Phone:615-936-5321
Mailing Address - Fax:615-936-2787
Practice Address - Street 1:1313 21ST AVE SOUTH
Practice Address - Street 2:SUITE #801 OXFORD HOUSE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-4753
Practice Address - Country:US
Practice Address - Phone:615-936-5321
Practice Address - Fax:615-936-2787
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000007525363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7525OtherADVANCED PRACTICE NURSING LICENSE