Provider Demographics
NPI:1033900766
Name:SIMPSON, PAMELLA N/A (NP)
Entity type:Individual
Prefix:
First Name:PAMELLA
Middle Name:N/A
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-3558
Mailing Address - Country:US
Mailing Address - Phone:754-281-3186
Mailing Address - Fax:754-281-3186
Practice Address - Street 1:5602 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3558
Practice Address - Country:US
Practice Address - Phone:754-281-3186
Practice Address - Fax:754-281-3186
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11039392363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care