Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA SUMMERLIN, PMHNP-BC
Active Sole ProprietorLISA SUMMERLIN, PMHNP-BC is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in FALLSTON, Maryland. NPI 1083042519 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · FALLSTON, MD
Registration Details
- NPI Number
- 1083042519
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2013 (12.83110569021 yrs)
- Last Updated
- Jun 4, 2024
- Licenses
-
R191100 (MD)R191100 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1814 BEL AIR RD STE 300FALLSTON, MD, 210472730Browse MD providers · Browse ZIP 21047
- Phone
- 4439965870
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
- Additional Specialty
- Psychiatric/Mental Health, Geropsychiatric CNS
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.