Whalio Doctors

NPI 1164675518

Jenny Amanda Simmons, MSPAC

Practitioner Physician Assistant Bentonville, AR

Practice location

Address
901 SE Plaza Ave STE 5, Bentonville, AR 72712-5473
Phone
(479) 273-3376

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-353 (AR)

Registry record

NPI
1164675518
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Oct 2008
Record last updated
19 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.