Individual
JENNY AMANDA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PA-C
Contact information
Practice address
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712-5473
(479) 273-3376
Mailing address
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712-5473
(479) 273-3376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-353
AR
Other
Enumeration date
10/29/2008
Last updated
12/19/2019
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