Healthcare Provider Details

I. General information

NPI: 1942132840
Provider Name (Legal Business Name): ANGELA SIMPSON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2261 WINTERGREEN DR
SEMMES AL
36575-3309
US

IV. Provider business mailing address

2261 WINTERGREEN DR
SEMMES AL
36575-3309
US

V. Phone/Fax

Practice location:
  • Phone: 251-243-8022
  • Fax:
Mailing address:
  • Phone: 251-243-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1-147172
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: