Individual
MRS. TINA MARIE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8101 SIMON ST., METARIE, LA 70003
(504) 737-5523
(504) 737-2649
Mailing address
240 RIVERDALE DRIVE, JEFFERSON, LA 70121
(504) 834-5026
(504) 834-3854
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APO4688
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721603
—
LA
Enumeration date
06/28/2006
Last updated
05/11/2017
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