Healthcare Provider Details

I. General information

NPI: 1114275740
Provider Name (Legal Business Name): CLAUDIA ANN SIMS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 GERMANTOWN CT SUITE 200
CORDOVA TN
38018-4238
US

IV. Provider business mailing address

60 GERMANTOWN CT SUITE 200
CORDOVA TN
38018-4238
US

V. Phone/Fax

Practice location:
  • Phone: 901-756-1216
  • Fax: 901-756-1412
Mailing address:
  • Phone: 901-756-1216
  • Fax: 901-756-1412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000016793
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier16793
Identifier TypeOTHER
Identifier State
Identifier IssuerAPN LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: