Individual
DYSHAUNA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753-4488
(732) 897-2770
(732) 897-3970
Mailing address
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753-4488
(732) 897-2770
(732) 897-3970
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
26NJ00945900
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00945900
NJ
Other
Enumeration date
08/17/2019
Last updated
04/14/2025
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