Provider Demographics
NPI:1366841918
Name:SIMPSON, ROXANNE ALECIA (FNP)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:ALECIA
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 BAINBRIDGE AVENUE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3716
Mailing Address - Country:US
Mailing Address - Phone:718-920-4800
Mailing Address - Fax:718-798-1883
Practice Address - Street 1:3400 BAINBRIDGE AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2404
Practice Address - Country:US
Practice Address - Phone:718-920-4800
Practice Address - Fax:718-798-1883
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-20
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337872-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily