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FREDA SIMMONS NP-C

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922469980

Individual Registrant:
 FREDA  SIMMONS NP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
511 E TUSKEENA ST  HAYNEVILLE, AL 36040-2666 US
Tel: 334-548-2516  Fax: 334-548-2521

Contact information for business:
PO BOX 70365  MONTGOMERY, AL 36107-0365 US
Tel: 334-420-5001  Fax: --

Registration Information:
NPI: 1922469980
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-090610

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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