Healthcare Provider Details

I. General information

NPI: 1427141365
Provider Name (Legal Business Name): DEBBIE LEIGH SIMMONS DNP, ANP-BC, COHN-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3625
US

IV. Provider business mailing address

5085 SAPPHIRE LN SW
VERO BEACH FL
32968-5858
US

V. Phone/Fax

Practice location:
  • Phone: 772-529-8926
  • Fax:
Mailing address:
  • Phone: 203-997-3511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number003466
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number9374954
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number003466
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number9374954
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: