IndividualActive
Jennifer Simoni, PA
NPI 1366486920 · Physician Assistant · Fayetteville, NC
Provider details
- NPI number
- 1366486920
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-00332 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone: (910) 630-1112
Fax: (910) 425-1110
Street-level locationGet directions
Mailing address
Po Box 64575
Fayetteville, NC 28306-0575
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2021-09-23
- Certified
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.