Healthcare Provider Details

I. General information

NPI: 1548174733
Provider Name (Legal Business Name): EMILY ROSE SIMONS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 HEALING WAY STE 310
WESLEY CHAPEL FL
33543-5497
US

IV. Provider business mailing address

1905 STATE HIGHWAY 66 2211
SAPULPA OK
74066-6654
US

V. Phone/Fax

Practice location:
  • Phone: 813-333-1186
  • Fax:
Mailing address:
  • Phone: 918-316-5483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number231635
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: