| Doctor Name: | MRS. NATALIE ARLENE SUMMERLIN |
| NPI Number: | 1023006343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R0065326 |
| Business Practice Address: | 1015 Washbourne Ave. Jay, OK - 74346 |
| Business Phone Number: | 9172534271 |
| Business Fax Number: | 9182532531 |
| Mailing Address: | 33601 S 595 Rd, GROVE |
| State: | OK |
| Postal Code: | 743447947 |
| Phone Number: | 9187910530 |
| Fax Number: | 9187910530 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0065326 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |