Provider Demographics
NPI:1871806307
Name:SIMPSON, JANE WHITE (MS)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:WHITE
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 COX RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0607
Mailing Address - Country:US
Mailing Address - Phone:704-867-6442
Mailing Address - Fax:
Practice Address - Street 1:543 COX RD
Practice Address - Street 2:SUITE B2
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0607
Practice Address - Country:US
Practice Address - Phone:704-867-6442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC408237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter