Individual
JENNIFER L SIMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
317 30TH ST APT 105D, SPRINGFIELD, OR 97478-5876
(480) 229-4090
Mailing address
317 30TH ST APT 105D, SPRINGFIELD, OR 97478-5876
(480) 229-4090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201030479LPN
OR
164X00000X
Licensed Vocational Nurse
235467
CA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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