Individual
TRACEY POOL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5003024
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5003024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912187279
—
NC
Enumeration date
11/05/2007
Last updated
12/08/2016
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