Individual
JAMIE SIMONSON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 984-5615
(601) 984-5689
Mailing address
172 CLEARVIEW DR E, MADISON, MS 39110-4542
(601) 613-4154
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R885616
MS
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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