Provider Demographics
NPI:1376226654
Name:SIMMONS, CHRISTINE LEIGH (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LEIGH
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 TURKEY CRK
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-9312
Mailing Address - Country:US
Mailing Address - Phone:352-665-5228
Mailing Address - Fax:
Practice Address - Street 1:765 TURKEY CRK
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-9312
Practice Address - Country:US
Practice Address - Phone:352-665-5228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028016363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner