Basic Information
Provider Information
NPI: 1417088386
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIMS
FirstName: JENNIFER
MiddleName: MACHELL
NamePrefix: MS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 E GLEBE RD
Address2: ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC
City: ALEXANDRIA
State: VA
PostalCode: 223052938
CountryCode: US
TelephoneNumber: 7035355568
FaxNumber:  
Practice Location
Address1: 2 E GLEBE RD
Address2: ALEXANDRIA NEIGHBORHOOD HEALTH SERVICES, INC
City: ALEXANDRIA
State: VA
PostalCode: 223052938
CountryCode: US
TelephoneNumber: 7035355568
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/09/2007
LastUpdateDate: 06/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0001XRN61587DCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
363LX0001X0024135846VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology

No ID Information.


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