Individual
SHERONICA V SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2751 ALBERT L BICKNELL DR STE 3C, SHREVEPORT, LA 71103-3943
(318) 212-0810
Mailing address
2751 ALBERT L BICKNELL DR STE 3C, SHREVEPORT, LA 71103-3943
(318) 212-0810
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
215973
LA
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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