Individual
LISA J OSWALT- SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 362-5321
Mailing address
PO BOX 3437, JACKSON, MS 39207-3437
(601) 362-5321
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
724335
MS
Other
Enumeration date
11/08/2007
Last updated
07/28/2025
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