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NPI Code Detail

MEDICARE: MRS. VANESSA JILL SIMMONS FNP-C

MEDICARE: MRS. VANESSA JILL SIMMONS FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN500009155DC
2363LF0000XFamily Nurse Practitioner3-000894AL
3363LF0000XFamily Nurse Practitioner202205791NP-PPOR
4363LF0000XFamily Nurse PractitionerNP500009155DC
5363LF0000XFamily Nurse Practitioner0024183734VA
6363LF0000XFamily Nurse Practitioner191190CT
7363LF0000XFamily Nurse PractitionerLG-0011936DE
8363LF0000XFamily Nurse PractitionerAPRN11018287FL
9363LF0000XFamily Nurse Practitioner31451TN
10363LF0000XFamily Nurse Practitioner3017700KY
11363LF0000XFamily Nurse Practitioner1075236TX
12363LF0000XFamily Nurse Practitioner285528AZ
13363LF0000XFamily Nurse Practitioner902051MS
14363LF0000XFamily Nurse Practitioner26NJ01482000NJ
15363LF0000XFamily Nurse Practitioner870076MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154844033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA JILL SIMMONS FNP-C
Provider Business Mailing Address
First Line : PO BOX 381468
Second Line :
City : GERMANTOWN
State : TN
Zip : 38183-1468
Country : US
Telephone Number : 901-377-8219
Fax Number : 901-328-1355
Provider Business Practice Location Address
First Line : 589 GARFIELD ST STE 201
Second Line :
City : TUPELO
State : MS
Zip : 38801-6301
Country : US
Telephone Number : 662-680-5565
Fax Number : 662-680-5654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2017
Last Update Date : 04/08/2026

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