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Individual

BOBBIE JEAN SIMS

Active
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Individual

BOBBIE JEAN SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANCP-BC

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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