Individual
MS. CARMELLA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RN FNP-BC
Contact information
Practice address
7215 JAYHAWK ST, ANNANDALE, VA 22003-5760
(703) 914-0222
Mailing address
7215 JAYHAWK ST, ANNANDALE, VA 22003-5760
(703) 914-0222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167846
VA
363LF0000X
Family Nurse Practitioner
RN964709
DC
Other
Enumeration date
04/09/2007
Last updated
08/19/2008
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