NPI Profile for JAHMILLE S SIMON in FLORISSANT, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X |
| NPI Number | 1841792926 |
|
| Status | Active | |
| Credentials | PPCNP-BC | |
| Entity | Individual | |
| Enumeration date | 03/05/2018 | |
| Last updated | 11/16/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JAHMILLE S SIMON
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