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NPI Code Detail

MEDICARE: MELISSA SIMMONS

MEDICARE: MELISSA SIMMONS
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner71012510AIN
2163W00000XRegistered Nurse28173339CIN
3363LP0808XPsychiatric/Mental Health Nurse Practitioner3018959KY

General Provider Information

NPI Number : 1467100875
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SIMMONS
Provider Business Mailing Address
First Line : 3211 GRANT LINE RD STE 15
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2175
Country : US
Telephone Number : 812-221-1186
Fax Number :
Provider Business Practice Location Address
First Line : 3211 GRANT LINE RD STE 15
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2175
Country : US
Telephone Number : 812-221-1186
Fax Number : 949-882-0452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2022
Last Update Date : 03/03/2026

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Directions to “ MELISSA SIMMONS ” Practice Location

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