Individual
AMANDA JADE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4340 CLYO RD STE 200, DAYTON, OH 45459-7000
(937) 534-7330
(937) 395-3682
Mailing address
4340 CLYO RD STE 200, DAYTON, OH 45459-7000
(937) 534-7330
(937) 395-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002327RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393422
—
OH
Enumeration date
04/17/2007
Last updated
06/30/2020
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