Provider Demographics
NPI:1497087902
Name:SIMMONS, LINDA A (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MCCULLION
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:501 W 14TH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1013
Mailing Address - Country:US
Mailing Address - Phone:302-661-3070
Mailing Address - Fax:
Practice Address - Street 1:501 W 14TH ST FL 4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-661-3070
Practice Address - Fax:302-661-3080
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010672363LF0000X, 363L00000X
DELG-0001158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily