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Individual

MELISSA SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3211 GRANT LINE RD STE 15, NEW ALBANY, IN 47150-2175
(812) 221-1186
(949) 882-0452
Mailing address
3211 GRANT LINE RD STE 15, NEW ALBANY, IN 47150-2175
(812) 221-1186

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173339C
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3018959
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71012510A
IN

Other

Enumeration date
03/15/2022
Last updated
03/03/2026
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