Provider Demographics
NPI:1497980304
Name:SIMPSON, JESSICA NELL (MN, ARNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:NELL
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S UNION AVE STE B1010
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1801
Mailing Address - Country:US
Mailing Address - Phone:253-572-5971
Mailing Address - Fax:253-572-5987
Practice Address - Street 1:1901 S UNION AVE STE B1010
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1801
Practice Address - Country:US
Practice Address - Phone:253-572-5971
Practice Address - Fax:253-572-5987
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60097976363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics