Individual
JADA SUTHARD SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-8006
(803) 434-3800
(803) 744-2759
Mailing address
PO BOX 743904, ATLANTA, GA 30384-2145
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4485
—
SC
01
—
SCA2519988
MEDICARE
SC
01
—
SCA251F935
MEDICARE
SC
Enumeration date
01/12/2017
Last updated
06/25/2021
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