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JENNIFER B SIMONI PA
NPI 1366486920
Physician Assistant in Fayetteville, NC

Active since June 15, 2006
1540 PURDUE DR STE 200, FAYETTEVILLE, NC 28303(910) 630-1112(910) 425-1110 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer B Simoni Pa NPPES

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

JENNIFER B SIMONI PA (NPI 1366486920) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-00332) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1366486920
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER B SIMONICredential: PA
Location Address1540 PURDUE DR STE 200Fayetteville, NC 28303-5510
Mailing AddressPo Box 64575Fayetteville, NC 28306-0575 · (910) 630-1112 · Fax (910) 425-1110
Phone(910) 630-1112
Fax(910) 425-1110
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 23, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1366486920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-00332
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1540 PURDUE DR STE 200, Fayetteville, NC 28303
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Other Identifiers 1

Other2625033NC · Uhc

Other Providers at the Same Location NPPES 8

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

THEODORE W. LANE PH.D.
Psychologist (Clinical)
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
CARDINAL CLINIC, LLC
Psychiatry & Neurology (Psychiatry)
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
CARDINAL CLINIC LLC
Social Worker
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
BRENDA M. DIXON
Counselor
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
CARDINAL CLINIC L.L.C.
Counselor
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889
SARAH E MALTBA FNP
Nurse Practitioner (Family)
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 630-1112
KHANDI-KAE D SWEENEY PA-C
Physician Assistant
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 630-1112
CARDINAL CLINIC LLC
Community/Behavioral Health
1540 PURDUE DR STE 200
FAYETTEVILLE, NC 28303
Cumberland County (910) 867-8889

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 Jennifer Simoni's NPI number?

The NPI number for Jennifer Simoni is 1366486920. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jennifer Simoni located?

Jennifer Simoni practices at 1540 Purdue Dr Ste 200, Fayetteville, NC 28303. The listed phone number is (910) 630-1112.

What is Jennifer Simoni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Simoni was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.