Angel D Summers, RN
Individual provider Active NPI General Practice Registered Nurse · Saucier, MS
NPI 1336031707 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1336031707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 869371 (MS)
- Practice address
- 20458 Saucier Advance Rd
Saucier, MS 39574-9630 - Phone
- (228) 380-3747
- NPI assigned
- Jul 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 869371 | MS | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 869371 | MS | Yes |
Addresses
Primary practice location
20458 Saucier Advance Rd
Saucier, MS 39574-9630
Mailing address
20458 Saucier Advance Rd
Saucier, MS 39574-9630
Phone (228) 380-3747
Other providers in Saucier, MS
- Nateladner LLC
- Jonathan Platner
- R & D Pharmacy LLC
- Je Song
- Southern Monitoring Innovations LLC
- Mollie Kristine Winter
All providers in Saucier, MS · General Practice Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.