| Doctor Name: | MS. CARMELLA SIMMONS |
| NPI Number: | 1063535441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS RN FNP-BC |
| License Number: | RN964709 |
| Business Practice Address: | 7215 Jayhawk St Annandale, VA - 220035760 |
| Business Phone Number: | 7039140222 |
| Business Fax Number: | |
| Mailing Address: | 7215 Jayhawk St, ANNANDALE |
| State: | VA |
| Postal Code: | 220035760 |
| Phone Number: | 7039140222 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2007 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN964709 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |