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NPI Code Detail

MEDICARE: MRS. JESSICA WHITE SIMS PHARMD

MEDICARE:  MRS. JESSICA WHITE SIMS  PHARMD
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
1183500000XPharmacistE-13011MS

General Provider Information

NPI Number : 1063846871
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA WHITE SIMS PHARMD
Provider Business Mailing Address
First Line : 10867 BRENTWAY CV
Second Line :
City : HERNANDO
State : MS
Zip : 38632-9620
Country : US
Telephone Number : 662-501-0924
Fax Number :
Provider Business Practice Location Address
First Line : 4028 GOODMAN RD W
Second Line :
City : HORN LAKE
State : MS
Zip : 38637-1325
Country : US
Telephone Number : 662-393-3477
Fax Number : 662-393-3214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2013
Last Update Date : 08/28/2013

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Directions to “ MRS. JESSICA WHITE SIMS PHARMD” Practice Location

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