Provider Demographics
NPI:1326321936
Name:SIMPSON, JAMIE MICHELLE (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MICHELLE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N INTERSTATE 35 STE 300
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-5146
Mailing Address - Country:US
Mailing Address - Phone:940-323-3480
Mailing Address - Fax:940-323-3481
Practice Address - Street 1:2900 N INTERSTATE 35 STE 300
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-5146
Practice Address - Country:US
Practice Address - Phone:940-323-3480
Practice Address - Fax:940-323-3481
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX742334364SM0705X
TXAP124435363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical