Provider Demographics
NPI:1205525391
Name:BAPTISTE-SIMMONDS, SHANICA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:SHANICA
Middle Name:
Last Name:BAPTISTE-SIMMONDS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15082 FM 1957 STE 111
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-7340
Mailing Address - Country:US
Mailing Address - Phone:210-201-2989
Mailing Address - Fax:
Practice Address - Street 1:15082 FM 1957 STE 111
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-7340
Practice Address - Country:US
Practice Address - Phone:210-201-2989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2024-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1128420363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily