Individual
JULIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1340 BROAD AVE STE 330, GULFPORT, MS 39501-2464
(228) 575-1234
(228) 865-3038
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-1700
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901460
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07834351
—
MS
Enumeration date
12/05/2015
Last updated
05/27/2025
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