Individual
RENEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
18198 OLD HIGHWAY 49, SAUCIER, MS 39574-8882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
896842
MS
363LF0000X
Family Nurse Practitioner
Primary
902585
MS
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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