Individual provider · Type 1 NPI

Mary Tabatha Simon, FNP

Family Nurse Practitioner · Easley, SC

NPI number 1902282270 Active

Practice location

290 Enterprise Dr
Easley, SC 29642-8280

Mailing address

3 Professional Park Dr, Ste 21
Johnson City, TN 37604-6529

Other practice locations

  • 301 Med Tech Pkwy Ste 120, Johnson City, TN 37604-2364 · (423) 794-5590
  • 4221 Fort Henry Dr Ste 100, Kingsport, TN 37663-2227 · (423) 239-1550
  • 135 Commonwealth Dr, Suite 120, Greenville, SC 29615-4831 · (864) 483-9026
  • 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 · (423) 434-6300

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X24643 (TN)
Family Nurse Practitioner Primary 363LF0000X19600 (SC)

Family Nurse Practitioner: Definition to come...

4 other providers at this address

Other family nurse practitioner providers in Easley

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About NPI 1902282270

Mary Tabatha Simon, FNP's National Provider Identifier is 1902282270, issued on Aug 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Easley, SC. The record was last updated on Aug 18, 2025.