Individual
MRS. BEVERLY MARJORIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
4 CHERRYRIDGE DR, FORT WORTH, TX 76134-3426
(682) 203-1229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1059749
TX
363LA2100X
Acute Care Nurse Practitioner
1059749
TX
363LA2200X
Adult Health Nurse Practitioner
1059749
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1059749
TX
363LG0600X
Gerontology Nurse Practitioner
1059749
TX
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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