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NPI Code Detail

MEDICARE: MARY SIMPSON PMHNP-BC

MEDICARE: MARY SIMPSON PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2334490MA

General Provider Information

NPI Number : 1679443451
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SIMPSON PMHNP-BC
Provider Business Mailing Address
First Line : 55 DIMOCK ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-1029
Country : US
Telephone Number : 617-442-8800
Fax Number :
Provider Business Practice Location Address
First Line : 45 DIMOCK ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-1208
Country : US
Telephone Number : 617-442-8800
Fax Number : 617-442-4088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2025
Last Update Date : 01/13/2026

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Directions to “ MARY SIMPSON PMHNP-BC” Practice Location

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