Individual provider · Type 1 NPI
Eboni Simmons, NP
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1770073090
Active
Practice location
5501 Old York Rd # 4320
Philadelphia, PA 19141-3018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP018188 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1770073090
Eboni Simmons, NP's National Provider Identifier is 1770073090, issued on May 11, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on May 11, 2018.