Individual
MARY SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 OAKHURST AVE, JACKSONVILLE, FL 32208-3239
(904) 414-0447
Mailing address
1540 OAKHURST AVE, JACKSONVILLE, FL 32208-3239
(904) 414-0447
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
393792
FL
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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