Individual provider · Type 1 NPI
Trevino C. Simmons, FNP
Family Nurse Practitioner · Ellenwood, GA
NPI number
1346797065
Active
Practice location
256 Essex Pl
Ellenwood, GA 30294-4106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN192990 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346797065
Trevino C. Simmons, FNP's National Provider Identifier is 1346797065, issued on Sep 10, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ellenwood, GA. The record was last updated on Sep 10, 2016.