Individual
SHELBY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1407 E MICHIGAN AVE, JACKSON, MI 49202-3517
(517) 888-6348
Mailing address
1407 E MICHIGAN AVE, JACKSON, MI 49202-3517
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704321560
MI
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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