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Individual
MS. ANDREA M SIMMONS
Active
Individual
MS. ANDREA M SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/APN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
77749
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
6281
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05683027
—
MS
05
—
158288758
—
AR
05
—
1721522
—
LA
05
—
200071090A
—
OK
05
—
427573902
—
MO
05
—
5440669
—
TN
Enumeration date
06/15/2006
Last updated
10/02/2012
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