Simmons, Shana Rae

Simmons, Shana Rae is an individual health care provider with primary practice located at 2762 Springer Rd Apt 8 , Galesburg IL 61401-7514. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Simmons, Shana Rae can be contacted via phone (309) 335-1970.

Contact Information

Primary practice address
2762 Springer Rd Apt 8 Galesburg IL 61401-7514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209022719 Illinois

Profile Details

NPI number 1184214306
LBN Legal business name Simmons, Shana Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 3 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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