Individual
GENAE SIMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
Mailing address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9425931
FL
363LF0000X
Family Nurse Practitioner
APRN11025369
FL
363LF0000X
Family Nurse Practitioner
APRN9425931
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11025369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119525100
—
FL
Enumeration date
03/17/2023
Last updated
03/03/2025
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