Individual provider · Type 1 NPI
Carol Jean Simmons, FNP
Family Nurse Practitioner · Portland, OR
NPI number
1043320880
Active
Practice location
5941 N Central
Portland, OR 97203
Fax (503) 988-5907
Mailing address
10801 SE Mill Ct
Portland, OR 97216-3219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 000033517N1 (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043320880
Carol Jean Simmons, FNP's National Provider Identifier is 1043320880, issued on Aug 30, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.