Simonton, Mallory A

Simonton, Mallory A is an individual health care provider with primary practice located at 1 Phipps Ln , Paris IL 61944-2919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Simonton, Mallory A can be contacted via phone (217) 463-4340.

Contact Information

Primary practice address
1 Phipps Ln Paris IL 61944-2919
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71007144A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209018013 Illinois

Profile Details

NPI number 1093244162
LBN Legal business name Simonton, Mallory A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Oct 16th, 2019 - about 5 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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