Individual
BOBBIE JEAN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANCP-BC
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-6454
Mailing address
233 SAINT MICHAELS CIR, ODENTON, MD 21113-1074
(859) 576-0751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R172563
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R172563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043788219
—
MD
Enumeration date
11/06/2018
Last updated
08/16/2021
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