Individual
BRENDA NESHELL SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4215 NEWBURG RD, ROCKFORD, IL 61108-6479
(815) 988-8500
Mailing address
4215 NEWBURG RD, ROCKFORD, IL 61108-6479
(815) 988-8500
(815) 977-5956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.017659
IL
Other
Enumeration date
06/06/2018
Last updated
07/15/2024
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