Individual
MRS. MICHELLE LEA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(417) 257-2454
Mailing address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(417) 257-2454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012039973
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699010603
—
MO
Enumeration date
12/02/2012
Last updated
09/17/2021
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