Provider Demographics
NPI:1982984092
Name:SIMMONS, RHONDA JOY EDMONS (APN-BC)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:JOY EDMONS
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E 3RD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-2700
Mailing Address - Country:US
Mailing Address - Phone:423-698-6422
Mailing Address - Fax:423-622-8223
Practice Address - Street 1:2300 E 3RD ST
Practice Address - Street 2:SUITE A
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-2700
Practice Address - Country:US
Practice Address - Phone:423-698-6422
Practice Address - Fax:423-622-8223
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 16040363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health