| Doctor Name: | MS. CAROL W SIMMONS |
| NPI Number: | 1003892951 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,FNP,APN |
| License Number: | 11782 |
| Business Practice Address: | 9155 Crestwyn Hills Dr Memphis, TN - 381258501 |
| Business Phone Number: | 9012614848 |
| Business Fax Number: | |
| Mailing Address: | 1509 Dulles Dr, LAFAYETTE |
| State: | LA |
| Postal Code: | 705063718 |
| Phone Number: | 3379919276 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 04/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 11782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |