Doctor Name: | CHRISTA SIMMONS |
NPI Number: | 1306229208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 17515-NP |
Business Practice Address: | 41865 Pomeroy Pike Pomeroy, OH - 457699473 |
Business Phone Number: | 7409920540 |
Business Fax Number: | 7407757855 |
Mailing Address: | 1049 Western Ave, P.o. Box 188 CHILLICOTHE |
State: | OH |
Postal Code: | 456011104 |
Phone Number: | 7407734366 |
Fax Number: | 7407757855 |
NPI Enumeration Date: | 07/09/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 17515-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |