Healthcare Provider Details

I. General information

NPI: 1437072584
Provider Name (Legal Business Name): JAMES R SIMPLER II RN BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 WOERZ WAY
ARDMORE OK
73401-5071
US

IV. Provider business mailing address

1213 CULBERTSON ST SW
ARDMORE OK
73401-5309
US

V. Phone/Fax

Practice location:
  • Phone: 580-826-3080
  • Fax:
Mailing address:
  • Phone: 405-567-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number200589
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: