Individual
JACQUELINE PAULETTE SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
210 AUBURN AVE NE, #407, ATLANTA, GA 30303-2610
(404) 781-5891
Mailing address
206 AUBURN AVE NE, ATLANTA, GA 30303-2602
(404) 781-5891
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN034846
GA
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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