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Individual

WHITNEY MICHELLE SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
14000 N PORTLAND AVE STE 204, OKLAHOMA CITY, OK 73134-4025
(405) 548-4848
(833) 470-1448
Mailing address
14000 N PORTLAND AVE STE 204, OKLAHOMA CITY, OK 73134-4025
(405) 548-4848
(833) 470-1448

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109792
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
200705
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SSN
OK
Enumeration date
09/24/2020
Last updated
01/29/2025
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