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Individual

YVETTE LAVALLEE SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1895 KINGSLEY AVE STE 300, ORANGE PARK, FL 32073-4453
(904) 276-2549
(904) 276-9235
Mailing address
1895 KINGSLEY AVE STE 300, ORANGE PARK, FL 32073-4453
(904) 276-2549
(904) 276-9235

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9205013
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9205013
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003112977A
GA
05
004510400
FL
Enumeration date
08/17/2011
Last updated
02/15/2018
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