License Verification

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AMY CHRISTINE SIMMENS

License Number: PA9104940

Data As Of 11/22/2024

Profession
Physician Assistant
License
PA9104940
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
02/17/2009
Address of Record
4500 San Pablo Road
Mayo Clinic
JACKSONVILLE, FL 32224
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
Yes
Discipline on File
No
Public Complaint
No
Address
824 8th Avenue North
JACKSONVILLE BEACH, FL 32250
Address
14550 Old St. Augustine Rd Baptist Medical Center - South
JACKSONVILLE, FL 32258
Address
1350 13th Avenue South Baptist Medical Center -Beaches
JACKSONVILLE BEACH, FL 32250
Address
800 Prudential Drive Baptist Medical Center
JACKSONVILLE, FL 32204
Name Relationship Profession License Effective Date
BUCKSHAW, RICKY ALAN JR Supervising Prescribing Practitioner Osteopathic Physician 19012 01/03/2024
BUTT, SHAYAN QASIM Supervising Prescribing Practitioner Medical Doctor 141720 02/09/2024
CARDOZO, MILENA Supervising Prescribing Practitioner Medical Doctor 135645 02/17/2024
CHIPI, PATRICIA Supervising Prescribing Practitioner Medical Doctor 133774 12/30/2023
COWART, JENNIFER BROOKE MD Supervising Prescribing Practitioner Medical Doctor 126831 12/30/2023
COWDELL, JED COLT Supervising Prescribing Practitioner Medical Doctor 125749 12/30/2023
DUMITRASCU, ADRIAN GEORGE Supervising Prescribing Practitioner Medical Doctor 106243 01/24/2024
EDWARDS, ERIC Supervising Prescribing Practitioner Medical Doctor 137916 12/30/2023
EVANS, MICHAEL Supervising Prescribing Practitioner Medical Doctor 161847 12/30/2023
GARLAND, JEFFREY LEWIS Supervising Prescribing Practitioner Medical Doctor 82064 01/20/2024
JOHNSON, JAMIE YVONNE Supervising Prescribing Practitioner Medical Doctor 120131 01/31/2024
JOYCE, NICOLE ELIZABETH Supervising Prescribing Practitioner Medical Doctor 128255 12/30/2023
MALIK, SEHRISH BATOOL Supervising Prescribing Practitioner Medical Doctor 159624 01/30/2024
MANIACI, MICHAEL JOSEPH Supervising Prescribing Practitioner Medical Doctor 90754 01/02/2024
MCKINNEY, MARGARET EDGINGTON Supervising Prescribing Practitioner Medical Doctor 121734 01/21/2024
MORAN, KAITLIN MCCURDY Supervising Prescribing Practitioner Medical Doctor 123359 02/01/2024
MURAWSKA BAPTISTA, ALEKSANDRA Supervising Prescribing Practitioner Medical Doctor 132468 01/24/2024
MWAKYANJALA, EDSON JOHN Supervising Prescribing Practitioner Medical Doctor 140140 01/31/2024
OMAN, SVEN PETER Supervising Prescribing Practitioner Medical Doctor 129083 01/22/2024
PAGAN, RICARDO J Supervising Prescribing Practitioner Medical Doctor 114300 01/21/2024
PRITCHARD, INGRID JULIETTE Supervising Prescribing Practitioner Medical Doctor 90557 02/01/2024
RIHANI, TUHAMA SAMI Supervising Prescribing Practitioner Medical Doctor 130395 01/21/2024
ROY, ARCHANA Supervising Prescribing Practitioner Medical Doctor 82081 01/22/2024
RUEDA PRADA, LIBARDO Supervising Prescribing Practitioner Medical Doctor 159184 01/31/2024
SEVAL, DIVYA Supervising Prescribing Practitioner Medical Doctor 139783 01/31/2024
SHAH, JALAK BHARAT Supervising Prescribing Practitioner Medical Doctor 156785 01/03/2024
SURYAPRASAD, ANIL Supervising Prescribing Practitioner Medical Doctor 118455 01/31/2024
TAHIR, MUHAMMAD WAQAS Supervising Prescribing Practitioner Medical Doctor 157685 01/31/2024
THOMAS, ASHLEY Supervising Prescribing Practitioner Medical Doctor 139563 01/29/2024
TORRENTE, NATALIE A Supervising Prescribing Practitioner Osteopathic Physician 19826 01/31/2024

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 11/22/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.