Provider Demographics
NPI:1528841624
Name:SIMPSON, GINA NICOLE (RMA (AAH), PTC, ETC)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:NICOLE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:RMA (AAH), PTC, ETC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6507 MISSION SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:CORRYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37721-3974
Mailing Address - Country:US
Mailing Address - Phone:865-661-6993
Mailing Address - Fax:650-542-3886
Practice Address - Street 1:6507 MISSION SPRINGS LN
Practice Address - Street 2:
Practice Address - City:CORRYTON
Practice Address - State:TN
Practice Address - Zip Code:37721-3974
Practice Address - Country:US
Practice Address - Phone:865-661-6993
Practice Address - Fax:650-542-3886
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy