Provider Demographics
NPI:1427307420
Name:SIMMONDS, JENNIFER E (RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:E
Last Name:SIMMONDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 SAW MILL RIVER RD
Mailing Address - Street 2:APT 66-3
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-1522
Mailing Address - Country:US
Mailing Address - Phone:914-374-2669
Mailing Address - Fax:
Practice Address - Street 1:376 SAW MILL RIVER RD
Practice Address - Street 2:APT 66-3
Practice Address - City:ELMSFORD
Practice Address - State:NY
Practice Address - Zip Code:10523-1522
Practice Address - Country:US
Practice Address - Phone:914-374-2669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY645380-1163W00000X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163W00000XNursing Service ProvidersRegistered Nurse