Provider Demographics
NPI:1164410171
Name:SIMPSON, JOANN F (NP)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:F
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:226 SE DEBELL
Mailing Address - Street 2:BLDG A
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006
Mailing Address - Country:US
Mailing Address - Phone:918-338-3740
Mailing Address - Fax:918-338-3742
Practice Address - Street 1:3450 FRANK PHILLIPS
Practice Address - Street 2:SUITE 400
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006
Practice Address - Country:US
Practice Address - Phone:918-338-3740
Practice Address - Fax:918-338-3742
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA095730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP06939Medicare UPIN