Provider Demographics
NPI:1215512819
Name:SIMMONS, ELISE ANN (APRN, FNP-C)
Entity type:Individual
Prefix:MISS
First Name:ELISE
Middle Name:ANN
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15423 CREEK BEND DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4561
Mailing Address - Country:US
Mailing Address - Phone:281-240-3773
Mailing Address - Fax:281-239-6268
Practice Address - Street 1:15423 CREEK BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4561
Practice Address - Country:US
Practice Address - Phone:281-240-3773
Practice Address - Fax:281-239-6268
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1030524208D00000X, 363LF0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily