Jaycob T Simmons, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2026095277 Issued in TX

Practice address

5872 Old Jacksonville Hwy Apt 121
Tyler, TX 75703-0597

Phone

(903) 944-1280

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1356247266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 OLD JACKSONVILLE HWY APT 121",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 OLD JACKSONVILLE HWY APT 121",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030597",
            "telephone_number": "903-944-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JAYCOB",
        "middle_name": "T",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2026095277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Jane Silverio, FNP
• Toby C Silvertooth, FNP-C
• Barakha Yadav Silvia, PHARMD
• Anquenette Simien
• Jane D Simmons, LPC
• Mitchel J.D. Simmons, PTA
• Patricia Brooke Simmons, WHNP
• Stephanie Jernigan Simmons, PSYD
• Simon Dental Services PLLC (Simon Family Dental)
• Robert Anthony Simon, DDS

• Psychiatric/Mental Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.