Provider Demographics
NPI:1376685537
Name:SIMPSON, CAROLE LEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:LEE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CAROLE
Other - Middle Name:LEE
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:8105 KODAK RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37914-9368
Mailing Address - Country:US
Mailing Address - Phone:865-549-5246
Mailing Address - Fax:
Practice Address - Street 1:1522 CHEROKEE TRL
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2205
Practice Address - Country:US
Practice Address - Phone:865-549-5246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000026844163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse