Individual provider · Type 1 NPI

Shaneka Latrisha Simmons, FNP-C

Family Nurse Practitioner · Jackson, MS

NPI number 1972867158 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Fax (601) 984-5733

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR879973 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1972867158

Shaneka Latrisha Simmons, FNP-C's National Provider Identifier is 1972867158, issued on Jul 2, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Nov 30, 2016.