Provider Demographics
NPI:1922745157
Name:SIMPSON, WHITLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:WHITLEY
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:4098 BURNING TREE DR
Mailing Address - Street 2:
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-4313
Mailing Address - Country:US
Mailing Address - Phone:850-512-0237
Mailing Address - Fax:
Practice Address - Street 1:12469 EMERALD COAST PKWY W STE 101
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-8306
Practice Address - Country:US
Practice Address - Phone:850-654-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2024-01-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant