Individual
CHASTITY QUAYONDRA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2597 OLD HIGHWAY 51 NE, WESSON, MS 39191-9414
(601) 754-6545
Mailing address
PO BOX 413, WESSON, MS 39191-0413
(601) 754-6545
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
22113
TN
363LF0000X
Family Nurse Practitioner
Primary
901702
MS
Other
Enumeration date
12/27/2016
Last updated
01/25/2018
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