Provider Demographics
NPI:1790356079
Name:SIMMS, EMILY JENNIFER (DNP, CNM, APRN,IBCLC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:JENNIFER
Last Name:SIMMS
Suffix:
Gender:F
Credentials:DNP, CNM, APRN,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 COUNTRY PLACE PKWY STE 109
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5121
Mailing Address - Country:US
Mailing Address - Phone:281-819-2034
Mailing Address - Fax:
Practice Address - Street 1:1801 COUNTRY PLACE PKWY STE 109
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5121
Practice Address - Country:US
Practice Address - Phone:281-819-2034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CNM07046367A00000X
KS53-81289-071367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS53-81289-071OtherKANSAS STATE BOARD OF NURSING