Individual provider · Type 1 NPI

Keenan Jaleel Simmons, FNP

Family Nurse Practitioner · Anderson, SC

NPI number 1184258642 Active

Practice location

1835 Rogers Rd
Anderson, SC 29621-2278

Mailing address

108 Calhoun Rd
Belton, SC 29627-1002

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X23714 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1184258642

Keenan Jaleel Simmons, FNP's National Provider Identifier is 1184258642, issued on Feb 24, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Anderson, SC. The record was last updated on Feb 24, 2020.