Simmons, Shellye

Simmons, Shellye is an individual health care provider with primary practice located at 350 S 40Th St , Muskogee OK 74401-4915. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Simmons, Shellye can be contacted via phone (918) 683-0753.

Contact Information

Primary practice address
350 S 40Th St Muskogee OK 74401-4915
Phone: (918) 683-0753
Fax: (918) 683-5677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X R0075190 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 75190 Oklahoma

Profile Details

NPI number 1295248581
LBN Legal business name Simmons, Shellye
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2017
Last updated Jan 10th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295248581 NPPES
Oklahoma MEDICAID 200746490A

Popular Providers