Provider Demographics
NPI:1841051414
Name:SIMMS, DEBRA DELONE (FNP-C)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:DELONE
Last Name:SIMMS
Suffix:
Gender:F
Credentials: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:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:DAUPHIN ISLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36528-0232
Mailing Address - Country:US
Mailing Address - Phone:251-533-7581
Mailing Address - Fax:
Practice Address - Street 1:514 BUCHANAN DR
Practice Address - Street 2:
Practice Address - City:DAUPHIN ISLAND
Practice Address - State:AL
Practice Address - Zip Code:36528
Practice Address - Country:US
Practice Address - Phone:251-533-7581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF01240270363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily