Provider Demographics
NPI:1104792704
Name:SIMPSON, BRYSON (FNP-C)
Entity type:Individual
Prefix:
First Name:BRYSON
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 FLETCHER ST
Mailing Address - Street 2:
Mailing Address - City:MORVEN
Mailing Address - State:GA
Mailing Address - Zip Code:31638-2445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:172 FLETCHER ST
Practice Address - Street 2:
Practice Address - City:MORVEN
Practice Address - State:GA
Practice Address - Zip Code:31638-2445
Practice Address - Country:US
Practice Address - Phone:229-563-0782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GANP312496363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily