Individual
BERNITA NICOLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
171 HARVEY CIR, CANTON, MS 39046-4557
(662) 571-7936
Mailing address
171 HARVEY CIR, CANTON, MS 39046-4557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
123456789
MS
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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