Provider Demographics
NPI:1104449164
Name:SIMPSON, YOLANDA LYNN (MBA)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:LYNN
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:YANCEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27379-8914
Mailing Address - Country:US
Mailing Address - Phone:336-514-1958
Mailing Address - Fax:
Practice Address - Street 1:559 FOSTER RD
Practice Address - Street 2:
Practice Address - City:YANCEYVILLE
Practice Address - State:NC
Practice Address - Zip Code:27379-8914
Practice Address - Country:US
Practice Address - Phone:336-514-1958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-26
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator