Basic Information
| Provider Information | |||||||||
| NPI: | 1538532767 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIMPSON | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 FAIRVIEW AVE | ||||||||
| Address2: | |||||||||
| City: | CLIFTON FORGE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 244221873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408634096 | ||||||||
| FaxNumber: | 5408629273 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 FAIRVIEW AVE | ||||||||
| Address2: | |||||||||
| City: | CLIFTON FORGE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 244221873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408634096 | ||||||||
| FaxNumber: | 5408629273 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2015 | ||||||||
| LastUpdateDate: | 11/10/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.