Provider Demographics
NPI:1679157598
Name:SIMPKINS, JAMIR ASHLEE (LPN)
Entity type:Individual
Prefix:
First Name:JAMIR
Middle Name:ASHLEE
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 RUSSELL DR APT D
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-8344
Mailing Address - Country:US
Mailing Address - Phone:330-475-2043
Mailing Address - Fax:
Practice Address - Street 1:1490 RUSSELL DR APT D
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-8344
Practice Address - Country:US
Practice Address - Phone:330-475-2043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.161523.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse