Summerville, Jeanie

Summerville, Jeanie is an individual health care provider with primary practice located at 3 Shircliff Way Ste 200 , Jacksonville FL 32204-4785. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Summerville, Jeanie can be contacted via phone (904) 384-3699.

Contact Information

Primary practice address
3 Shircliff Way Ste 200 Jacksonville FL 32204-4785
Phone: (904) 384-3699
Fax: (904) 384-8529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP3005032 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP3005032 Florida

Profile Details

NPI number 1861442352
LBN Legal business name Summerville, Jeanie
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 26th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861442352 NPPES
Florida MEDICAID 002225300

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