Provider Demographics
NPI:1740045723
Name:SIMPSON, DEANNA (MSN, RNC)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MSN, RNC
Other - Prefix:MRS
Other - First Name:DEANNA
Other - Middle Name:LYNN
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, RNC-MNN, AHWNC
Mailing Address - Street 1:5900 BALCONES DR STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4298
Mailing Address - Country:US
Mailing Address - Phone:817-221-8950
Mailing Address - Fax:
Practice Address - Street 1:8160 JOELLA LANE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW, TEXAS
Practice Address - State:TX
Practice Address - Zip Code:76050
Practice Address - Country:US
Practice Address - Phone:181-793-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716080163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse