JACQUELINE DEBORAH SIMON APRN PMHNP-BC NPI 1497200307

NPI Information

  • NPI: 1497200307
  • Provider Name: JACQUELINE DEBORAH SIMON, APRN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2382 NE 29TH ST
    LIGHTHOUSE POINT, FL
    ZIP 33064
  • Phone: (954) 540-6547

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NPI Details

Jacqueline Deborah Simon, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Lighthouse Point, FL. Jacqueline Deborah Simon, APRN, PMHNP-BC NPI is 1497200307. 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:

2382 NE 29TH ST
LIGHTHOUSE POINT, FL
ZIP 33064-131
Phone: (954) 540-6547
Fax: (949) 695-4648

The NPI 1497200307 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 8/20/2016 and was last updated on 9/12/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN9328821FLORIDAYes

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: 3/30/2025

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