# MS. ANDREA M SIMMONS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093759607
- **Gender:** F
- **Credential:** RN/APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0200X | Pediatric Registered Nurse | 77749 | TN | — |
| 363LP0200X | Pediatric Nurse Practitioner | 6281 | TN | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 10/02/2012

## 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 |