Male or Other

Mr. Jason W. Simms APRN FNP-C

Family Nurse Practitioner in Lake Charles, LA(View on Map)

Full Name

Mr. Jason Wayne Simms APRN FNP-C

NPI Number

1134834963

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/16/2023

Specialties

(Taxonomies)

Code

363LF0000X
363L00000X

Primary Taxonomy

Yes
No

Licenses

State

Louisiana

License Number

227200

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 122165 DEPT 2165
1717 OAK PARK BLVD

City

Dallas
Lake Charles

State

TX
LA

Postal Code

75312-0001
70601-8991

Country

US
US

Telephone Number

(337) 494-2921
(337) 912-5581

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/14/2024

Provider Address

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