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Individual

MRS. ANITA JOYCE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN, CNS

Contact information

Practice address
606 W WILBUR MILLS AVE, KENSETT, AR 72082-9051
(501) 742-5697
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
S01126 CNS
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213493758
AR
Enumeration date
10/04/2006
Last updated
08/30/2016
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