| Doctor Name: | PAMELA J SIMMONS |
| NPI Number: | 1053667865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN188913 |
| Business Practice Address: | 2001 Antioch Rd Dalton, GA - 307214622 |
| Business Phone Number: | 7062771100 |
| Business Fax Number: | |
| Mailing Address: | 25500 N Norterra Dr, PHOENIX |
| State: | AZ |
| Postal Code: | 850858200 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN188913 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |