Healthcare Provider Details

I. General information

NPI: 1124796230
Provider Name (Legal Business Name): ABBY CHRISTINA SIMS AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MEDICAL PARK DR E
BIRMINGHAM AL
35235-3401
US

IV. Provider business mailing address

1841 CHARLOTTE DR
HOOVER AL
35226-2634
US

V. Phone/Fax

Practice location:
  • Phone: 659-273-7955
  • Fax:
Mailing address:
  • Phone: 256-810-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1-176023
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number1-176023
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-176023
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: