IndividualActive
Krystle Simmons
NPI 1487592994 · Nurse's Aide · Awendaw, SC
Provider details
- NPI number
- 1487592994
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 9991507 (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1020 Derries Rd
Awendaw, SC 29429-6057
Phone: (843) 310-9517
Approximate (ZIP-level) locationGet directions
Mailing address
1020 Derries Rd
Awendaw, SC 29429-6057
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-03-24
- Certified
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.