Simmons, Debra H

Simmons, Debra H is an individual health care provider with primary practice located at 1401 Oak St , Grenada MS 38901-4633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Simmons, Debra H can be contacted via phone (662) 226-4010.

Contact Information

Primary practice address
1401 Oak St Grenada MS 38901-4633
Phone: (662) 226-4010
Fax: (662) 226-4495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X R728179 Mississippi

Profile Details

NPI number 1285620633
LBN Legal business name Simmons, Debra H
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Apr 25th, 2012 - about 12 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 1285620633 NPPES
Mississippi MEDICAID 00116294

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