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

Jennifer B Simoni, PA

Individual provider Physician Assistant · NPI 1366486920

Jennifer B Simoni, PA is a Physician Assistant in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1540 Purdue Dr Ste 200
Fayetteville, NC 28303-5510
Phone: (910) 630-1112
Fax: (910) 425-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00332 (NC)

Record details

NPI number1366486920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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