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NPI Code Detail

MEDICARE: NATASHA SIMMONS NP

MEDICARE:   NATASHA  SIMMONS  NP
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 PractitionerAP115666TX
2363LP0808XPsychiatric/Mental Health Nurse Practitioner635298TX

General Provider Information

NPI Number : 1568686079
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA SIMMONS NP
Provider Business Mailing Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number : 214-743-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 12/08/2025

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