Provider Demographics
NPI:1952521155
Name:SIMPSON, MELINDA (FNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1727
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-0435
Mailing Address - Country:US
Mailing Address - Phone:540-387-9222
Mailing Address - Fax:540-387-4472
Practice Address - Street 1:1308 W MAIN ST
Practice Address - Street 2:LONG TERM CARE MEDICAL ASSOCIATES
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153
Practice Address - Country:US
Practice Address - Phone:540-387-9222
Practice Address - Fax:540-387-4472
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167347363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily