SARA SIMMONS
NPI 1396298840
Licensed Practical Nurse in Jackson, MI

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since August 02, 2016

3300 LANSING AVE, JACKSON, MI 49202(517) 783-5127 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
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Individual
Female
Licensed Practical Nurse

About SARA SIMMONS

This page provides the complete NPI Profile along with additional information for Sara Simmons, a provider established in Jackson, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1396298840 assigned on August 2016. The practitioner's primary taxonomy code is 164W00000X with license number 4703116704 (MI). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI: 1396298840 Verify this NPI
Provider Name: SARA SIMMONS
Gender: Female
Entity Type: Individual
Location Address: 3300 LANSING AVE JACKSON, MI 49202
Location Phone: (517) 783-5127
Mailing Address: 3300 LANSING AVE JACKSON, MI 49202
Mailing Phone: (517) 783-5127
Is Sole Proprietor?: No
Enumeration Date: 08-02-2016
Last Update Date: 08-02-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: 4703116704
License State: MI
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.