Individual
MRS. SHIRLEY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 513-3495
Mailing address
PO BOX 1615, MONONGALIA GENERAL HOSPITAL, MORGANTOWN, WV 26507-1615
(304) 598-1200
(304) 598-1457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1043
WV
363AM0700X
Medical Physician Assistant
01043
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043
PA-C LICENSE
WV
Enumeration date
07/10/2006
Last updated
06/02/2026
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