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Contact Information

ANDREA M SIMMONS, RN/APN
262 DANNY THOMAS PL
MEMPHIS, TN38105-3678
 Phone: 901-595-3006
 Fax: 901-595-3842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for ANDREA M SIMMONS · (Female)

NPI # 1093759607
Status Active
Credentials RN/APN
Entity Individual
Enumeration date 06/15/2006
Last updated 10/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 6281
  • TN License # 77749
  • AR Medicaid 158288758
  • LA Medicaid 1721522
  • MO Medicaid 427573902
  • MS Medicaid 05683027
  • OK Medicaid 200071090A
  • TN Medicaid 5440669
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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