Individual
JONATHAN TODD SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
144 NASCAR BOULAVARD, BLUFF CITY, TN 37618
(423) 742-1421
Mailing address
595 LORI CICLE, CHUCKEY, TN 37641
(423) 329-4108
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
225727
TN
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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