| Doctor Name: | PAMELA B. SIMMONS |
| NPI Number: | 1013332071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, APRN, FNP-BC |
| License Number: | AP07706 |
| Business Practice Address: | 865 Olive St Shreveport, LA - 711042136 |
| Business Phone Number: | 3184706194 |
| Business Fax Number: | |
| Mailing Address: | 7402 Prestbury Ct, SHREVEPORT |
| State: | LA |
| Postal Code: | 711293421 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2014 |
| NPI Last Update Date: | 02/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP07706 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |