Provider Demographics
NPI:1811707490
Name:SIMPSON, HALLIE NICOLE (RN)
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:NICOLE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:NICOLE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:126 CROSS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:AR
Mailing Address - Zip Code:72007-9738
Mailing Address - Country:US
Mailing Address - Phone:501-388-6029
Mailing Address - Fax:
Practice Address - Street 1:2006 E PARK AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5930
Practice Address - Country:US
Practice Address - Phone:501-305-3305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR097693163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics