Healthcare Provider Details

I. General information

NPI: 1801283841
Provider Name (Legal Business Name): JAMES SIMMONS FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 GEORGIA AVE
SILVER SPRING MD
20910-3618
US

IV. Provider business mailing address

14516 TWIG RD
SILVER SPRING MD
20905-7024
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-6049
  • Fax: 301-588-7365
Mailing address:
  • Phone: 210-314-0155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP127995
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC004166
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: