Organization
JOHNNIE MAE SIMMONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHNNIE MAE SIMMONS REGISTERED NURSING (REGISTER NURSING)
(414) 510-4893
Entity
Organization
Contact information
Practice address
4560 N. 40TH ST,, MILWAUKEE, WI 53209
(414) 510-4893
Mailing address
4560 N. 40TH ST,, MILWAUKEE, WI 53209
(414) 510-4893
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
167452
WI
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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