Provider Demographics
NPI:1861712374
Name:SUMMERS, JANE ANN
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:ANN
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33310 18TH LN S
Mailing Address - Street 2:G303
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8909
Mailing Address - Country:US
Mailing Address - Phone:509-948-1750
Mailing Address - Fax:253-715-3025
Practice Address - Street 1:33310 18TH LN S
Practice Address - Street 2:G303
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8909
Practice Address - Country:US
Practice Address - Phone:509-948-1750
Practice Address - Fax:253-715-3025
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYSHL 1002174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator