Provider Demographics
NPI:1588803993
Name:SIMPSON, TERESA Y (RN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:Y
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:PO BOX 12607
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2607
Mailing Address - Country:US
Mailing Address - Phone:252-670-1000
Mailing Address - Fax:
Practice Address - Street 1:2507 NEUSE BLVD
Practice Address - Street 2:A
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-3329
Practice Address - Country:US
Practice Address - Phone:262-670-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC192276171M00000X
NCHC3854376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator