Healthcare Provider Details

I. General information

NPI: 1881506699
Provider Name (Legal Business Name): JENNIFER KATE SIMPSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 RARITAN RD
SCOTCH PLAINS NJ
07076-2963
US

IV. Provider business mailing address

765 WARREN ST
WESTFIELD NJ
07090-4447
US

V. Phone/Fax

Practice location:
  • Phone: 908-889-7780
  • Fax:
Mailing address:
  • Phone: 908-889-7780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15635000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: