IndividualActive
Acquenetta Summers-Wong
NPI 1487189155 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Antioch, CA
Provider details
- NPI number
- 1487189155
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 95106500 (CA)
Mailing address
55 E 18th St
Antioch, CA 94509-2450
Registry dates
- Enumerated
- 2017-05-01
- Last updated
- 2017-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.