Individual
JESSIE MAE SIMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVENUE SE SUITE 5600, OBGYN HOSPITALIST, ALBUQUERQUE, NM 87106-4920
(505) 841-0922
(505) 563-6380
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2020-0647
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2020-0647
LICENSE #
NM
Enumeration date
04/21/2016
Last updated
07/31/2025
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