IndividualActive
Simon Okewole, D.O.
NPI 1205000296 · Clinical Cardiac Electrophysiology Physician · Jackson, TN
Provider details
- NPI number
- 1205000296
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2572 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
17 Centre Plaza Dr
Jackson, TN 38305-2862
Phone: (731) 512-0104
Fax: (731) 668-7388
Approximate (ZIP-level) locationGet directions
Mailing address
17 Centre Plaza Dr
Jackson, TN 38305-2862
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.