Provider Demographics
NPI:1871654046
Name:KEASLER, SUMMER CRAIG (APRN-BC)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:CRAIG
Last Name:KEASLER
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:CRAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1074 AUTUMN WOODS DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-5110
Mailing Address - Country:US
Mailing Address - Phone:615-746-0885
Mailing Address - Fax:
Practice Address - Street 1:2246 KEENLAND COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-3909
Practice Address - Country:US
Practice Address - Phone:615-907-9771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN12244363LF0000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife