JESSICA L JOHNSON SIMMONS
NPI 1104628767
Dental Hygienist in Crestview, FL

Q: What is Jessica Johnson Simmons's NPI number?

The NPI number for Jessica Johnson Simmons is 1104628767. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Jessica Johnson Simmons's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Active since March 25, 2025

810 E JAMES LEE BLVD, CRESTVIEW, FL 32539(850) 689-5593 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica L Johnson Simmons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA L JOHNSON SIMMONS (NPI 1104628767) is an individual dental hygienist in Crestview, Florida, licensed in Florida (DH22470) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104628767

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameJESSICA L JOHNSON SIMMONS

Location Address810 E JAMES LEE BLVDCrestview, FL 32539-3118

Mailing Address1771 Shady CirPonce De Leon, FL 32455-7031 · (850) 689-5593

Phone(850) 689-5593

Sole ProprietorNo

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1104628767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in FL · DH22470

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

810 E JAMES LEE BLVD, Crestview, FL 32539

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH DONALD CAMACHO DDS

Dentist (General Practice)

810 E JAMES LEE BLVD
CRESTVIEW, FL 32539

Okaloosa County (850) 689-7808

FLORIDA DEPARTMENT OF HEALTH

Public Health or Welfare

810 E JAMES LEE BLVD
CRESTVIEW, FL 32539

Okaloosa County (850) 689-7855

PATRICIA ANN FLETCHER PA

Physician Assistant

810 E JAMES LEE BLVD
CRESTVIEW, FL 32539

Okaloosa County (850) 689-7808

MINDI JOY GODFREY

Dental Hygienist

810 E JAMES LEE BLVD
CRESTVIEW, FL 32539

Okaloosa County (850) 689-5593

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Johnson Simmons's NPI number?

The NPI number for Jessica Johnson Simmons is 1104628767. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Jessica Johnson Simmons located?

Jessica Johnson Simmons practices at 810 E James Lee Blvd, Crestview, FL 32539. The listed phone number is (850) 689-5593.

What is Jessica Johnson Simmons's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jessica Johnson Simmons was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.