Simmons, Andrea M

Simmons, Andrea M is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Simmons, Andrea M can be contacted via phone (901) 595-3006.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Fax: (901) 595-3842
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 77749 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 6281 Tennessee

Profile Details

NPI number 1093759607
LBN Legal business name Simmons, Andrea M
Credentials RN/APN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Oct 2nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093759607 NPPES
Oklahoma MEDICAID 200071090A
Oklahoma MEDICAID 427573902
Oklahoma MEDICAID 05683027
Oklahoma MEDICAID 158288758
Oklahoma MEDICAID 1721522
Oklahoma MEDICAID 5440669

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