JAN SIMONE APN NPI 1841274966

NPI Information

  • NPI: 1841274966
  • Provider Name: JAN SIMONE, APN
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 1200 W STATE ST
    ROCKFORD, IL
    ZIP 61102
  • Phone: (815) 490-1600

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NPI Details

Jan Simone, APN is a women's health nurse practitioner in Rockford, IL. Jan Simone, APN NPI is 1841274966. 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:

1200 W STATE ST
ROCKFORD, IL
ZIP 61102-112
Phone: (815) 490-1600

The enumeration date for this NPI number is 12/1/2005 and was last updated on 4/2/2010.

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
1363LW0102XNurse PractitionerWomen's Health209001596ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P04505MEDICARE UPINILLINOIS
2209001596MEDICAIDILLINOIS
3579130MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE

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: 11/21/2025

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