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Individual

MRS. DEBRA H SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC

Contact information

Practice address
1401 OAK ST, GRENADA, MS 38901-4633
(662) 226-4010
(662) 226-4495
Mailing address
1401 OAK ST, GRENADA, MS 38901-4633
(662) 226-4010
(662) 226-4495

Taxonomy

Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
R728179
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116294
MS
Enumeration date
09/21/2005
Last updated
04/25/2012
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