Individual
MS. STEPHANIE LAYNE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 569-7048
(864) 560-7353
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 569-7048
(864) 560-7353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19256
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3096
—
SC
01
—
SC51556067
MEDICARE PIN
SC
01
—
SC51556084
MEDICARE PIN
SC
01
—
SC51558510
MEDICARE
SC
01
—
SC51559068
MEDICARE
SC
01
—
SC5155J577
MEDICARE PIN
SC
Enumeration date
01/14/2015
Last updated
12/21/2020
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