Individual
IVELISSE OLIVENCIA-SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2555 COURT DR STE 200, GASTONIA, NC 28054-2178
(704) 867-2141
(704) 867-2308
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
218300
CT
363L00000X
Nurse Practitioner
Primary
5003363
NC
363L00000X
Nurse Practitioner
79066
ID
363LA2100X
Acute Care Nurse Practitioner
5003363
NC
Other
Enumeration date
06/26/2007
Last updated
01/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us