Individual
MS. CAROL W SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,FNP,APN
Contact information
Practice address
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125-8501
(901) 261-4848
Mailing address
1509 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11782
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3642375
—
TN
Enumeration date
12/21/2005
Last updated
04/07/2015
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