MEDICARE: BRITTNEY LYNN SIMS APRN

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
1	363LF0000X	Family Nurse Practitioner	A005999	AR

General Provider Information

NPI Number	:	1164987368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNEY LYNN SIMS APRN

Provider Business Mailing Address
First Line	:	1311 FORT ST STE F
Second Line	:
City	:	BARLING
State	:	AR
Zip	:	72923-2045
Country	:	US
Telephone Number	:	816-769-1680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 FORT ST STE F
Second Line	:
City	:	BARLING
State	:	AR
Zip	:	72923-2045
Country	:	US
Telephone Number	:	816-769-1680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	02/01/2019

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