MEDICARE: LELIA MARIE SIMPSON FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	907037	MS

General Provider Information

NPI Number	:	1568284271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LELIA MARIE SIMPSON FNP-C

Provider Business Mailing Address
First Line	:	310 VIRGIL ST
Second Line	:
City	:	TAYLORSVILLE
State	:	MS
Zip	:	39168-5658
Country	:	US
Telephone Number	:	601-842-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 S SIXTH ST
Second Line	:
City	:	BAY SPRINGS
State	:	MS
Zip	:	39422-9052
Country	:	US
Telephone Number	:	601-764-2155
Fax Number	:	601-764-2150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	03/17/2026

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