Provider Demographics
NPI:1396108619
Name:SIMMS, RACHAEL MEREY (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:MEREY
Last Name:SIMMS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:MEREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP, APRN
Mailing Address - Street 1:888 TARA BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7818
Mailing Address - Country:US
Mailing Address - Phone:225-273-5995
Mailing Address - Fax:225-273-7475
Practice Address - Street 1:888 TARA BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7818
Practice Address - Country:US
Practice Address - Phone:225-273-5995
Practice Address - Fax:225-273-7475
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO9718363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics