Individual
KATHRYNNE O SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1222 TROTWOOD AVE, SUITE 503, COLUMBIA, TN 38401-6436
(931) 490-7775
(931) 490-7797
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303B, COLUMBIA, TN 38401-4659
(931) 490-7775
(931) 490-7797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725122
—
TN
Enumeration date
01/14/2011
Last updated
01/14/2011
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