Individual
MS. SHALOM CHARISSE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC MSN, RN
Contact information
Practice address
129 MACDONOUGH ST APT 4R, BROOKLYN, NY 11216-2517
(718) 541-4132
Mailing address
129 MACDONOUGH ST APT 4R, BROOKLYN, NY 11216-2517
(718) 541-4132
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431902
NY
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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