Provider Demographics
NPI:1881274587
Name:DENISE L. SIMMONS, NP OF PSYCHIATRY, PLLC.
Entity type:Organization
Organization Name:DENISE L. SIMMONS, NP OF PSYCHIATRY, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER OF PSYCHIATRY
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:NPP
Authorized Official - Phone:516-234-0790
Mailing Address - Street 1:5 EDWARD CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2102
Mailing Address - Country:US
Mailing Address - Phone:516-234-0790
Mailing Address - Fax:
Practice Address - Street 1:5 EDWARD CT
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2102
Practice Address - Country:US
Practice Address - Phone:516-234-0790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty