Provider Demographics
NPI:1699025395
Name:SUMNER, ERIN FOSTER (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:FOSTER
Last Name:SUMNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 W ELM ST
Mailing Address - Street 2:P O BOX 371
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-2017
Mailing Address - Country:US
Mailing Address - Phone:478-864-2600
Mailing Address - Fax:478-864-1288
Practice Address - Street 1:2251 W ELM ST
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31096-2017
Practice Address - Country:US
Practice Address - Phone:478-864-2600
Practice Address - Fax:478-864-1288
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177081363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN177081OtherGEORGIA LICENSE