Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Grant Simonds, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255190682

Jackie Grant Simonds, DO is a Student in an Organized Health Care Education/Training Program in Largo, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

201 14th St SW
Largo, FL 33770-3133
Phone: (727) 588-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255190682
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing address4621 Windcroft Cir, Hoschton, GA 30548-3484

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