Individual
JENNIFER SNEAD SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP, CPON
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4085
(336) 716-3010
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300301
NC
363LP0200X
Pediatric Nurse Practitioner
113484
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003709
—
NC
Enumeration date
04/28/2006
Last updated
05/11/2022
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