Provider Demographics
NPI:1184746455
Name:SIMPSON, JOANNE KELLY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:KELLY
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7314 SWANSEA LN
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8696
Mailing Address - Country:US
Mailing Address - Phone:301-675-2221
Mailing Address - Fax:571-376-6653
Practice Address - Street 1:19485 OLD JETTON RD STE 201
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6762
Practice Address - Country:US
Practice Address - Phone:704-364-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101241534207N00000X
NC2020-000543207N00000X, 207R00000X
DCMD046453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology