Individual
JENNIFER B SIMONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303-5510
(910) 630-1112
(910) 425-1110
Mailing address
PO BOX 64575, FAYETTEVILLE, NC 28306-0575
(910) 630-1112
(910) 425-1110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00332
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625033
UHC
NC
Enumeration date
06/15/2006
Last updated
09/23/2021
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