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NPI Code Detail

MEDICARE: ABBIE LEE SIMS FNP-C

MEDICARE: ABBIE LEE SIMS FNP-C
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
1207Q00000XFamily Medicine Physician4704274137MI
2363LF0000XFamily Nurse Practitioner4704274137MI

General Provider Information

NPI Number : 1063286995
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIE LEE SIMS FNP-C
Provider Business Mailing Address
First Line : 4154 W VIENNA RD
Second Line :
City : CLIO
State : MI
Zip : 48420-2809
Country : US
Telephone Number : 810-687-1008
Fax Number : 833-582-2257
Provider Business Practice Location Address
First Line : 4154 W VIENNA RD
Second Line :
City : CLIO
State : MI
Zip : 48420-2809
Country : US
Telephone Number : 810-687-1008
Fax Number : 833-582-2257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2023
Last Update Date : 02/25/2026

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Directions to “ ABBIE LEE SIMS FNP-C” Practice Location

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