Individual
MRS. TARAH NICHOLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 782-2000
Mailing address
137 CONNIE BEE LN, WALTERBORO, SC 29488-5854
(843) 539-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28344
SC
Other
Enumeration date
05/22/2023
Last updated
02/06/2024
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