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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285620633 | NPPES |
| Mississippi | MEDICAID | 00116294 |
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