Healthcare Provider Details

I. General information

NPI: 1609793199
Provider Name (Legal Business Name): SHASH ANN SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3719 DAUPHIN ST
MOBILE AL
36608-1753
US

IV. Provider business mailing address

3719 DAUPHIN ST
MOBILE AL
36608-1753
US

V. Phone/Fax

Practice location:
  • Phone: 251-643-8930
  • Fax:
Mailing address:
  • Phone: 251-643-8930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-200906
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: