Individual
FREDA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
511 E TUSKEENA ST, HAYNEVILLE, AL 36040-2666
(334) 548-2516
(334) 548-2521
Mailing address
PO BOX 70365, MONTGOMERY, AL 36107-0365
(334) 420-5001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-090610
AL
Other
Enumeration date
03/17/2016
Last updated
05/08/2023
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