Healthcare Provider Details

I. General information

NPI: 1194502138
Provider Name (Legal Business Name): SHERRI ANN FREY SIMPSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2023
Last Update Date: 11/05/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38495 BABIN RD
GONZALES LA
70737
US

IV. Provider business mailing address

38495 BABIN RD
GONZALES LA
70737
US

V. Phone/Fax

Practice location:
  • Phone: 225-571-4072
  • Fax:
Mailing address:
  • Phone: 225-571-4072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberRN-059988
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: