Individual
DR. JEANNIE MOORE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
212 8TH AVE SE, OELWEIN REGIONAL OFFICE, OELWEIN, IA 50662
(319) 283-4135
(319) 283-4140
Mailing address
212 8TH AVE SE, OELWEIN REGIONAL OFFICE, OELWEIN, IA 50662
(319) 283-4135
(319) 283-4140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
334
IA
103T00000X
Psychologist
615
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13727
WELLMARK BCBS
IA
Enumeration date
07/19/2006
Last updated
10/02/2007
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