Provider Demographics
NPI:1437514312
Name:SIMPSON, KAYLA DAWN (RN)
Entity Type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:DAWN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37683-1217
Mailing Address - Country:US
Mailing Address - Phone:423-727-9731
Mailing Address - Fax:423-727-4153
Practice Address - Street 1:715 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN CITY
Practice Address - State:TN
Practice Address - Zip Code:37683-1217
Practice Address - Country:US
Practice Address - Phone:423-727-9731
Practice Address - Fax:423-727-4153
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN182521163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health