Provider Demographics
NPI:1376174722
Name:SIMPSON, BRITTANY NICHOLS (APRN)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:NICHOLS
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4181 WALTHAM FOREST DR
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-5724
Mailing Address - Country:US
Mailing Address - Phone:615-339-3906
Mailing Address - Fax:
Practice Address - Street 1:1765 DAVID WALKER DR
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5745
Practice Address - Country:US
Practice Address - Phone:352-343-3330
Practice Address - Fax:352-742-0354
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-03
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9398217163W00000X
FL11018867363LP0200X
TN194569163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse