Individual
MISS OLIVIA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 NASHVILLE PIKE STE 103, GALLATIN, TN 37066-4592
(615) 471-8673
Mailing address
1403 DABOLL RD, MEMPHIS, NY 13112-8729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719916
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
36378
TN
Other
Enumeration date
12/08/2017
Last updated
08/01/2024
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