Individual
KASSIE J SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
104 E 7TH AVE, CHADBOURN, NC 28431-1402
(910) 654-3143
(910) 654-4144
Mailing address
4172 OLD US HIGHWAY 74, CHADBOURN, NC 28431-7092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
267347
NC
363L00000X
Nurse Practitioner
5012971
NC
363LF0000X
Family Nurse Practitioner
5012971
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5012971
NC
Other
Enumeration date
03/06/2020
Last updated
04/01/2026
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