Individual
KIMBERLY SIMONEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
15695 PROFESSIONAL PLZ, HAMMOND, LA 70403-1411
(985) 542-2599
(985) 345-0880
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP04904
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1370908
—
LA
Enumeration date
06/14/2006
Last updated
11/16/2024
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