Provider Demographics
NPI:1437963972
Name:SUMMERS, ALEXANDRIA NICHOLE (CRNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:NICHOLE
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:NICHOLE
Other - Last Name:SUMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:309 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2421
Mailing Address - Country:US
Mailing Address - Phone:256-259-5313
Mailing Address - Fax:256-259-4923
Practice Address - Street 1:60 MAIN ST N
Practice Address - Street 2:
Practice Address - City:SECTION
Practice Address - State:AL
Practice Address - Zip Code:35771-7168
Practice Address - Country:US
Practice Address - Phone:256-228-3471
Practice Address - Fax:256-228-7289
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-165982363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily