Individual
JACQUELINE MARIE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1914 POST RD, APT 211, MADISON, WI 53713-4308
(608) 663-9134
Mailing address
401 OAKLAND AVE, SUN PRAIRIE, WI 53590-1613
(608) 825-6469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38295600
—
WI
Enumeration date
05/26/2007
Last updated
07/09/2007
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