Doctor Name: | MRS. DEBRA H SIMMONS |
NPI Number: | 1285620633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC |
License Number: | R728179 |
Business Practice Address: | 1401 Oak St Grenada, MS - 389014633 |
Business Phone Number: | 6622264010 |
Business Fax Number: | 6622264495 |
Mailing Address: | 1401 Oak St, GRENADA |
State: | MS |
Postal Code: | 389014633 |
Phone Number: | 6622264010 |
Fax Number: | 6622264495 |
NPI Enumeration Date: | 09/21/2005 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SW0102X |
License Number: | R728179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |