Healthcare Provider Details

I. General information

NPI: 1518692417
Provider Name (Legal Business Name): LAUREN PENTON SIMPSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN JEANNETTE PENTON RN

II. Dates (important events)

Enumeration Date: 07/24/2022
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8888 SUMMA AVE
BATON ROUGE LA
70809-3772
US

IV. Provider business mailing address

5231 BRITTANY DR
BATON ROUGE LA
70808-9100
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-0933
  • Fax: 225-214-0088
Mailing address:
  • Phone: 225-769-0933
  • Fax: 225-769-6255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number247680
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN128346
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: