Individual
JANICE D SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1351 W CENTRAL PARK AVE, STE 420, DAVENPORT, IA 52804-1853
(563) 421-1422
(563) 421-1430
Mailing address
1351 W CENTRAL PARK AVE, STE 420, DAVENPORT, IA 52804-1853
(563) 421-1422
(563) 421-1430
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
L101908
IA
363LA2100X
Acute Care Nurse Practitioner
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09751
WELLMARK OF IA
IA
05
—
1462978
—
IA
01
—
IA0182
JOHN DEERE
IA
Enumeration date
06/24/2005
Last updated
07/09/2007
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