Individual
MRS. DEBORAH H SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
RR 1 BOX 11A, PORTERVILLE, MS 39352-9702
(662) 476-5826
(662) 476-9871
Mailing address
RR 1 BOX 11A, PORTERVILLE, MS 39352-9702
(662) 476-5826
(662) 476-9871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P312059
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770263
—
MS
Enumeration date
12/29/2006
Last updated
07/09/2007
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