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Individual
JACQUELINE SIMPSON
Active
Individual
JACQUELINE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, PNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
003260
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003260
APRN
CT
05
—
003260
—
CT
Enumeration date
11/02/2007
Last updated
08/03/2022
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