Individual provider · Type 1 NPI
Mary D. Simmons-Kone, APRN
Primary Care Nurse Practitioner · Jefferson City, MO
NPI number
1861384174
Active
Practice location
1125 Madison St
Jefferson City, MO 65101-5227
Fax (573) 634-2033
Mailing address
275 Mossy Springs Dr
Oakland, TN 38060-3467
Other practice locations
- 275 Mossy Springs Dr, Oakland, TN 38060-3467 · (901) 848-5568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2025050446 (MO) |
| Primary Care Nurse Practitioner | 363LP2300X | 0000000000 (TN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1861384174
Mary D. Simmons-Kone, APRN's National Provider Identifier is 1861384174, issued on Jul 21, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 12, 2025.