Provider Demographics
NPI:1255953907
Name:SIMPSON, ADRIANNE NICOLE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:NICOLE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:ADRIANNE
Other - Middle Name:NICOLE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2703 E 114TH ST APT 1405
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-3236
Mailing Address - Country:US
Mailing Address - Phone:405-650-7219
Mailing Address - Fax:
Practice Address - Street 1:12680 OLIVE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6322
Practice Address - Country:US
Practice Address - Phone:314-251-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-15
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020004142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily