Provider Demographics
NPI:1720228505
Name:SIMMONS, BETTYE HILL (NP)
Entity Type:Individual
Prefix:MS
First Name:BETTYE
Middle Name:HILL
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 TIDES RUN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-4334
Mailing Address - Country:US
Mailing Address - Phone:757-989-3029
Mailing Address - Fax:
Practice Address - Street 1:576 JEFFERSON AVENUE
Practice Address - Street 2:MCDONALD ARMY HEALTH CENTER
Practice Address - City:FT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604-5548
Practice Address - Country:US
Practice Address - Phone:757-878-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily