KENYAWN JUDEA SIMMONS FNP-C NPI 1265659247

NPI Information

NPI: 1265659247
Provider Name: KENYAWN JUDEA SIMMONS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2501 W BURBANK BLVD
BURBANK, CA
ZIP 91505
Phone: (818) 856-9535
Get Directions

Kenyawn Judea Simmons, FNP-C is a family nurse practitioner in Burbank, CA. Kenyawn Judea Simmons, FNP-C NPI is 1265659247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2501 W BURBANK BLVD
BURBANK, CA
ZIP 91505-347
Phone: (818) 856-9535

The NPI 1265659247 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 8/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95021826	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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