Basic Information
| Provider Information | |||||||||
| NPI: | 1124796230 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SIMS | ||||||||
| FirstName: | ABBY | ||||||||
| MiddleName: | CHRISTINA | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | BSN, RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 244 RALEIGH AVE | ||||||||
| Address2: | |||||||||
| City: | HOMEWOOD | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352096549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2568101501 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1700 6TH AVE S | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352331802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059347102 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2021 | ||||||||
| LastUpdateDate: | 09/02/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WX0200X | 1-176023 | AL | N | Nursing Service Providers | Registered Nurse | Oncology | 163WC0200X | 1-176023 | AL | Y | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No ID Information.