Individual
JACKIE DENISE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1500 E WOODROW WILSON AVE, EMERGENCY DEPARTMENT, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1389
Mailing address
1500 E WOODROW WILSON AVE, EMERGENCY DEPARTMENT, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R861533
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02089530
—
MS
Enumeration date
12/29/2011
Last updated
11/29/2021
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