Provider Demographics
NPI:1912883547
Name:VENNING, SIMONE (AGNP)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:
Last Name:VENNING
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2099 TANNERS MILL DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-7823
Mailing Address - Country:US
Mailing Address - Phone:843-696-2087
Mailing Address - Fax:
Practice Address - Street 1:5601 ARRINGDON PARK DR STE 240
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5677
Practice Address - Country:US
Practice Address - Phone:919-997-3100
Practice Address - Fax:919-997-3149
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5022825363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner