Individual provider · Type 1 NPI

Khadene Simmons

Psychiatric/Mental Health Nurse Practitioner · Clearwater, FL

NPI number 1902502008 Active

Practice location

2985 Drew St
Clearwater, FL 33759-3012

Mailing address

9648 US Highway 301 S # 46
Riverview, FL 33578-5442

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11023908 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1902502008

Khadene Simmons's National Provider Identifier is 1902502008, issued on Feb 1, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clearwater, FL. The record was last updated on Jul 30, 2026.