Individual
JESSICA ANN SIMMONS
Active
Individual
JESSICA ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100256
TX
367500000X
Certified Registered Nurse Anesthetist
213170
MT
367500000X
Certified Registered Nurse Anesthetist
Primary
AP124913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330279602
—
TX
01
—
8475UJ
BCBS TX
TX
Enumeration date
01/04/2014
Last updated
02/17/2025
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