Ms Shana Rae Simmons, FNP | |
2762 Springer Rd Apt 8, Galesburg, IL 61401-7514 | |
(309) 335-1970 | |
Not Available |
Full Name | Ms Shana Rae Simmons |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2762 Springer Rd Apt 8, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184214306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209022719 (Illinois) | Primary |
Entity Name | Proctor Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
Entity Name | Graham Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
Mailing Address | Practice Location Address |
---|---|
Ms Shana Rae Simmons, FNP 2762 Springer Rd Apt 8, Galesburg, IL 61401-7514 Ph: (309) 335-1970 | Ms Shana Rae Simmons, FNP 2762 Springer Rd Apt 8, Galesburg, IL 61401-7514 Ph: (309) 335-1970 |
Melissa Hajostek, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-2405 | |
Sharon L Marguglio, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-5114 | |
Jessica Logan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2779 Volunteer Dr Ste 201, Galesburg, IL 61401 Phone: 309-345-9400 Fax: 309-345-9401 | |
Shannon L Egan, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 | |
Mrs. Susie Marie Avery, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1887 Sunset Dr, Galesburg, IL 61401 Phone: 309-371-9300 | |
Miss Monica Lynn Interial, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1377 W Main St, Galesburg, IL 61401 Phone: 773-641-8904 | |
Bethany Mcgraw, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 |