Individual
JENNIFER SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209010809
IL
363LW0102X
Women's Health Nurse Practitioner
209010809
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0029980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209010809
ADVANCED PRACTICE NURSE
IL
01
—
RN287709
LICENSE
OH
Enumeration date
07/11/2007
Last updated
11/04/2021
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