Individual
MRS. SHERIDAN SIMS HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1968 PEACHTREE RD NW, 1984 BUILDING, 2ND FLOOR, PALLIATIVE CARE DEPARTMENT, ATLANTA, GA 30309-1281
(404) 605-1159
Mailing address
275 LAKEMOORE DR NE, UNIT A, ATLANTA, GA 30342-3871
(404) 605-1159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN107270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN107270
STATE LICENSE FOR NP
GA
Enumeration date
01/26/2007
Last updated
03/05/2018
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