| Doctor Name: | MRS. JENNILYN ALEXIS SIMMONS |
| NPI Number: | 1154629814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN,FNP-C |
| License Number: | 235628 |
| Business Practice Address: | 1200 Og Skinner Dr West Point, GA - 318331771 |
| Business Phone Number: | 7066343131 |
| Business Fax Number: | 7066343297 |
| Mailing Address: | 1200 Og Skinner Dr, WEST POINT |
| State: | GA |
| Postal Code: | 318331771 |
| Phone Number: | 7066343131 |
| Fax Number: | 7066433297 |
| NPI Enumeration Date: | 03/04/2011 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 235628 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |