Individual provider · Type 1 NPI
Sade Simmons, AGNP-C
Primary Care Nurse Practitioner · Cleveland, OH
NPI number
1245728849
Active
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Mailing address
1669 Flagstone Ln
Conyers, GA 30012-6509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | H190253 (IA) |
| Primary Care Nurse Practitioner | 363LP2300X | RN231453 (GA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1245728849
Sade Simmons, AGNP-C's National Provider Identifier is 1245728849, issued on Apr 29, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cleveland, OH. The record was last updated on Oct 29, 2026.