Individual
WHITNEY R SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13892 TIMBER WAY, BROADWAY, VA 22815-3332
(540) 901-0800
(757) 578-8547
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-7094
(540) 564-7171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002988
PA LICENSE
VA
Enumeration date
03/31/2009
Last updated
11/09/2018
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