Katherine Ethridge Summers, CPNP | |
840 N Oak Ave, Ruleville, MS 38771-3227 | |
(662) 756-4024 | |
Not Available |
Full Name | Katherine Ethridge Summers |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 840 N Oak Ave, Ruleville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326682998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 904945 (Mississippi) | Primary |
Entity Name | North Sunflower Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318 |
Mailing Address | Practice Location Address |
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Katherine Ethridge Summers, CPNP 1110 Deering St, Cleveland, MS 38732-3127 Ph: (205) 382-0935 | Katherine Ethridge Summers, CPNP 840 N Oak Ave, Ruleville, MS 38771-3227 Ph: (662) 756-4024 |
Michaela Stone, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-1788 Fax: 662-756-1694 | |
Kristen Cassidy Scott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Mrs. Judy Ann Pearce, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 Fax: 662-756-4023 | |
Kathryn Meredith James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Michael T Beckum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-2711 Fax: 662-756-4114 | |
Natalie Roberts Dozier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 |