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Individual
CHARLIE SIMMONS
Active
Individual
CHARLIE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
897824
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905959
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
897824
MISSISSIPPI BOARD OF NURSING
MS
01
—
905959
MISSISSIPPI BOARD OF NURSING
MS
Enumeration date
09/20/2022
Last updated
08/20/2026
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