Simpson, Nickolas J

Simpson, Nickolas J is an individual health care provider with primary practice located at 1205 Russell St , Union City TN 38261-5352. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Simpson, Nickolas J can be contacted via phone (731) 884-0002.

Contact Information

Primary practice address
1205 Russell St Union City TN 38261-5352
Phone: (731) 884-0002
Fax: (731) 884-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA4186 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4186 Tennessee

Profile Details

NPI number 1750921862
LBN Legal business name Simpson, Nickolas J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2020
Last updated Jan 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750921862 NPPES
Mississippi MEDICAID Q061558

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