Individual
MARDISHA STELLA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADN,BS,RHIT,NP,MD,MA
Contact information
Practice address
915 PEARL PARK WAY, CHARLOTTE, NC 28204-0073
(704) 907-9921
Mailing address
5023 RIVERDALE DR, CHARLOTTE, NC 28273-8912
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
36630
NC
163WC1500X
Community Health Registered Nurse
01366839
NC
207Q00000X
Family Medicine Physician
16507430
NC
390200000X
Student in an Organized Health Care Education/Training Program
13871770
TN
390200000X
Student in an Organized Health Care Education/Training Program
16507430
NC
390200000X
Student in an Organized Health Care Education/Training Program
36630
NC
390200000X
Student in an Organized Health Care Education/Training Program
4104801506
NC
390200000X
Student in an Organized Health Care Education/Training Program
4202053
NC
390200000X
Student in an Organized Health Care Education/Training Program
519252368
NC
390200000X
Student in an Organized Health Care Education/Training Program
8698989
NC
390200000X
Student in an Organized Health Care Education/Training Program
940389678
NC
390200000X
Student in an Organized Health Care Education/Training Program
L46320870
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SI9848238
NC
Other
Enumeration date
04/17/2026
Last updated
05/09/2026
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