MS. NICOLE R. HUTSON SIMONE (NPI# 1710006481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710006481 |
| Entity Type | Individual |
| Full Name | MS. NICOLE R. HUTSON SIMONE |
| Credential | APRN, CPNP |
| Practice Address |
300 Rawls Dr Ste 100 Mccomb MS 39648-2852 |
| Practice Telephone | 6016847623 |
| Practice Fax Number | 8777959891 |
| Mailing Telephone | 6016847623 |
| Mailing Fax Number | 8777959891 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R887980 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP04664 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06179048 | 05 | |
| LA | 1722961 | 05 |
| Street Address |
300 RAWLS DR STE 100 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888316 | Mccomb Children's Clinic, Ltd | Pediatrics | 300 Rawls Dr Ste 100, Mccomb, MS 39648-2852 | 2005-11-19 |
| 1467875625 | Kimberly Nicole Pope | Nurse Practitioner | 300 Rawls Dr Ste 100, Mccomb, MS 39648-2852 | 2014-01-23 |
| 1366542151 | Floyd Thomas Carey | Pediatrics | 300 Rawls Dr Ste 100, Mccomb, MS 39648-2852 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063925519 | Maranda Jordan Guess | Nurse Practitioner | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2017-11-07 |
| 1225499452 | Jennifer Meilstrup | Nurse Practitioner | 300 Rawls Dr, Mccomb, MS 39648-2877 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. NICOLE R. HUTSON SIMONE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.