Individual
JAMES SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
419 ROADS END ST, GLENDALE, CA 91205-3331
(312) 434-4515
Mailing address
419 ROADS END ST, GLENDALE, CA 91205-3331
(312) 434-4515
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95001543
CA
363LA2200X
Adult Health Nurse Practitioner
95001543
CA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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