Individual
JALEEN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213
(601) 364-5142
(601) 364-5159
Mailing address
PO BOX 3437, JACKSON, MS 39207-3437
(601) 362-5321
(601) 364-5159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26972
MS
390200000X
Student in an Organized Health Care Education/Training Program
T-3012
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03159001
—
MS
01
—
845602
MEDICARE
MS
Enumeration date
06/25/2015
Last updated
09/23/2020
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