Individual
MS. CRYSTAL TRAMAINE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3190 SEDONA TRL, JACKSONVILLE, FL 32208
(904) 894-8386
Mailing address
3190 SEDONA TRL, JACKSONVILLE, FL 32208-8441
(904) 798-0282
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5188964
FL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/19/2016
Last updated
08/27/2018
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