Provider Demographics
NPI:1801283841
Name:SIMMONS, JAMES (FNP-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14516 TWIG RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-7024
Mailing Address - Country:US
Mailing Address - Phone:210-314-0155
Mailing Address - Fax:
Practice Address - Street 1:8700 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3618
Practice Address - Country:US
Practice Address - Phone:301-585-6049
Practice Address - Fax:301-588-7365
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127995363LF0000X
MDAC004166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily