Individual
MS. STEPHANIE WINCHELL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 PERDIDO ST, SLVHCS -NEW ORLEANS, NEW ORLEANS, LA 70112-1262
(504) 412-3700
Mailing address
7501 AFTON DR, NEW ORLEANS, LA 70127-1509
(504) 914-3688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAA10414
LA
Other
Enumeration date
08/11/2006
Last updated
11/02/2012
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