IndividualActive
Kellie Simmons, CRNP
NPI 1386846467 · Adult Health Clinical Nurse Specialist · Philadelphia, PA
Provider details
- NPI number
- 1386846467
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP008870 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3401 N Broad St
Gastroenterology - 3rd Fl Ambulatory Care Center
Philadelphia, PA 19140-5103
Phone: (215) 707-9900
Fax: (215) 707-3831
Approximate (ZIP-level) locationGet directions
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2013-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.