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Individual
SHAQUILLA SIMMONS
Active
Individual
SHAQUILLA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19061900
NJ
163W00000X
Registered Nurse
RN689236
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
407981
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
L8-0011104
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP034167
PA
Other
Enumeration date
07/03/2017
Last updated
05/08/2026
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