Healthcare Provider Details

I. General information

NPI: 1336295385
Provider Name (Legal Business Name): LINDSEY NICOLE SIMS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 N CHESTNUT ST
HARRISON AR
72601-4411
US

IV. Provider business mailing address

309 N CHESTNUT ST
HARRISON AR
72601-4411
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-2244
  • Fax: 870-741-9113
Mailing address:
  • Phone: 870-741-2244
  • Fax: 870-741-9113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number1695
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: