Basic Information
Provider Information
NPI: 1548437254
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIMS
FirstName: BARBARA
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 156 CORA MILL RD
Address2:  
City: GALLIPOLIS
State: OH
PostalCode: 456317826
CountryCode: US
TelephoneNumber: 7402455146
FaxNumber:  
Practice Location
Address1: 840 GALLIA ST
Address2:  
City: PORTSMOUTH
State: OH
PostalCode: 456624232
CountryCode: US
TelephoneNumber: 7403533236
FaxNumber: 7403534803
Other Information
ProviderEnumerationDate: 05/12/2008
LastUpdateDate: 08/11/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XNP09623OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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