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Individual

JESSICA SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1415 E STATE ST STE 101, ROCKFORD, IL 61104-2300
(815) 489-4891
(815) 967-5312
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013172
IL

Other

Enumeration date
09/15/2015
Last updated
03/02/2021
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