Individual
JACKQUELINE BALLENTINE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Mailing address
1547 PARKWAY, GREENWOOD, SC 29646-4081
(864) 229-7120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F3980
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3980
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3335
MEDICARE
SC
05
—
421504
—
SC
Enumeration date
09/14/2009
Last updated
02/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us