Individual
CORNIQUECA STEWART-SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
340 NW COMMERCE DRIVE, LAKE CITY, FL 32055
(386) 719-9000
(386) 719-9000
Mailing address
340 NW COMMERCE DRIVE, LAKE CITY, FL 32055
(386) 719-9000
(386) 719-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3281712
FL
363LF0000X
Family Nurse Practitioner
3281712
FL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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