Healthcare Provider Details

I. General information

NPI: 1548437254
Provider Name (Legal Business Name): BARBARA E SIMS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 08/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 GALLIA ST
PORTSMOUTH OH
45662-4232
US

IV. Provider business mailing address

156 CORA MILL RD
GALLIPOLIS OH
45631-7826
US

V. Phone/Fax

Practice location:
  • Phone: 740-353-3236
  • Fax: 740-353-4803
Mailing address:
  • Phone: 740-245-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP09623
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: