| Doctor Name: | MELISSA SIMPSON |
| NPI Number: | 1467698209 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-085605 |
| Business Practice Address: | 815 Jackson Trace Rd Wetumpka, AL - 360921504 |
| Business Phone Number: | 3345672882 |
| Business Fax Number: | 3345673361 |
| Mailing Address: | 815 Jackson Trace Rd, WETUMPKA |
| State: | AL |
| Postal Code: | 360921504 |
| Phone Number: | 3345672882 |
| Fax Number: | 3345673361 |
| NPI Enumeration Date: | 12/29/2008 |
| NPI Last Update Date: | 12/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 1-085605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |