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Individual

PAMELA B. SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, APRN, FNP-BC

Contact information

Practice address
865 OLIVE ST, SHREVEPORT, LA 71104-2136
(318) 470-6194
Mailing address
7402 PRESTBURY CT, SHREVEPORT, LA 71129-3421

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07706
LA

Other

Enumeration date
02/27/2014
Last updated
02/23/2015
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