Simmons, Janice D
Simmons, Janice D is an individual health care provider with primary practice located at 1351 W Central Park Ave Ste 420, Davenport IA 52804-1853. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Simmons, Janice D can be contacted via phone (563) 421-1422.Contact Information
Primary practice address
1351 W Central Park Ave Ste 420
Davenport IA 52804-1853
Phone: (563) 421-1422
Fax: (563) 421-1430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | L101908 | Iowa |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | Illinois |
Profile Details
| NPI number | 1114923018 |
|---|---|
| LBN Legal business name | Simmons, Janice D |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114923018 | NPPES |
| Iowa | Other | 09751 | WELLMARK OF IA |
| Iowa | Other | IA0182 | WELLMARK OF IA |
| Iowa | MEDICAID | 1462978 | WELLMARK OF IA |
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