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Contact Information

JAHMILLE S SIMON, PPCNP-BC
1224 GRAHAM RD STE 3009
FLORISSANT, MO63031-8028
 Phone: 314-839-7500
 Fax: 314-839-8545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for JAHMILLE S SIMON · (Female)

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
  • MO License # 2002007369
  • MO License # 2011012311
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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