Kenyawn Judea Simmons in Burbank - Family
Kenyawn Judea Simmons - NPI 1265659247
Kenyawn Judea Simmons is a Family in Burbank, California. Kenyawn Judea Simmons practices all healthcare services and medical treatments related to Family. The NPI Number for Kenyawn Judea Simmons is 1265659247. The last update date is 2022-08-08.
Kenyawn Judea Simmons's current location address is 2501 W Burbank Blvd, Burbank, California. You can contact this provider via phone number 8188569535. The mailing address for Kenyawn Judea Simmons is 2501 W Burbank Blvd, Burbank, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenyawn Judea Simmons |
|---|---|
| Address | 2501 W Burbank Blvd, Burbank, California |
| Phone Number | 8188569535 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1265659247 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2022-08-08 |
Provider Mailing Address Detail
| Address | 2501 W Burbank Blvd |
|---|---|
| City | Burbank |
| State | California (CA) |
| Post Code | 915052347 |
| Phone Number | 8188569535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 95021826 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique provider identifier assigned to Kenyawn Judea Simmons?
The Kenyawn Judea Simmons has been issued the NPI (National Provider Identifier) 1265659247 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kenyawn Judea Simmons?
The Kenyawn Judea Simmons is situated at 2501 W Burbank Blvd, in the city of Burbank, state of CA, with the zip code 915052347.
What is the Kenyawn Judea Simmons's specialty and taxonomy code?
The Kenyawn Judea Simmons's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265659247 to Kenyawn Judea Simmons?
The Kenyawn Judea Simmons received its 1265659247 assignment from the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date were the details related to Kenyawn Judea Simmons most recently updated or revised?
The information pertaining to Kenyawn Judea Simmons, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC