Individual provider · Type 1 NPI

Latoya Ann Simon, NP-C

Nurse Practitioner · Kennesaw, GA

NPI number 1790203552 Active

Practice location

1780 Old 41 Hwy NW
Kennesaw, GA 30152-4428

Fax (702) 977-1496

Mailing address

PO Box 22239
New York, NY 10087-0001

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN190977 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790203552

Latoya Ann Simon, NP-C's National Provider Identifier is 1790203552, issued on Aug 31, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kennesaw, GA. The record was last updated on Dec 11, 2025.