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NPI Code Detail

MEDICARE: HOLLY NICOLE SIMS

MEDICARE:   HOLLY NICOLE SIMS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1790633055
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY NICOLE SIMS
Provider Business Mailing Address
First Line : 1345 MERCER ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-3033
Country : US
Telephone Number : 304-818-2222
Fax Number : 618-282-5600
Provider Business Practice Location Address
First Line : 1345 MERCER ST
Second Line :
City : PRINCETON
State : WV
Zip : 24740-3033
Country : US
Telephone Number : 304-818-2222
Fax Number : 618-282-5600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ HOLLY NICOLE SIMS ” Practice Location

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