Healthcare Provider Details

I. General information

NPI: 1073089306
Provider Name (Legal Business Name): MS. VALENCIA NICOLE SIMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALENCIA NICOLE SINGLETON LPN

II. Dates (important events)

Enumeration Date: 10/14/2018
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 DUXBERRY AVE
COLUMBUS OH
43211-2134
US

IV. Provider business mailing address

995 DUXBERRY AVE
COLUMBUS OH
43211-2134
US

V. Phone/Fax

Practice location:
  • Phone: 740-564-5352
  • Fax:
Mailing address:
  • Phone: 740-564-5352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.191480
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number167137
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: