Individual
CHARISSA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15590 64TH PL N, LOXAHATCHEE, FL 33470-3480
(561) 929-9881
Mailing address
15590 64TH PL N, LOXAHATCHEE, FL 33470-3480
(561) 929-9881
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN9284121
FL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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