Provider Demographics
NPI:1659530756
Name:SUMMEY, KRISTIN BRYSON (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:BRYSON
Last Name:SUMMEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 BETHELVIEW RD # 110-332
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9475
Mailing Address - Country:US
Mailing Address - Phone:800-689-3431
Mailing Address - Fax:866-283-2975
Practice Address - Street 1:2300 BETHELVIEW RD # 110-332
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9475
Practice Address - Country:US
Practice Address - Phone:006-893-4318
Practice Address - Fax:866-283-2975
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN162508363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner