Individual
AMYLENA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
54 TATE SPRINGS RD, MELBOURNE, AR 72556-8633
(870) 373-1853
(870) 368-5032
Mailing address
54 TATE SPRINGS RD, MELBOURNE, AR 72556-8633
(870) 373-1853
(870) 368-5032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
120099
AR
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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