Individual
JONATHAN J SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 444-7497
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9359499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HU287Z
MEDICARE PTAN
FL
Enumeration date
04/17/2013
Last updated
11/27/2024
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