Simmons, Angela Christine

Simmons, Angela Christine is an sole proprietor health care provider with primary practice located at 7 Shackleford West Blvd , Little Rock AR 72211-3714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Simmons, Angela Christine can be contacted via phone (501) 664-5860.

Contact Information

Primary practice address
7 Shackleford West Blvd Little Rock AR 72211-3714
Phone: (501) 664-5860
Fax: (501) 664-0889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03003 Arkansas

Profile Details

NPI number 1760603575
LBN Legal business name Simmons, Angela Christine
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jun 17th, 2013 - about 11 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 1760603575 NPPES
Arkansas MEDICAID 174704758
Arkansas Other 5A835S

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