Individual
MS. JOHNNIE MAE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4560 N 40TH ST, MILWAUKEE, WI 53209-5808
(414) 449-2132
Mailing address
4560 N 40TH ST, MILWAUKEE, WI 53209-5808
(414) 449-2132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167452-030
WI
164W00000X
Licensed Practical Nurse
303888-031
WI
Other
Enumeration date
07/13/2009
Last updated
12/19/2022
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