Individual
CRYSTAL L SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5720
(315) 713-5741
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5720
(315) 713-5741
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401481
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03685669
—
NY
Enumeration date
06/27/2012
Last updated
02/10/2017
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