Individual
MS. TINA SIMS YOUMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4750 WATERS AVE STE 302, SAVANNAH, GA 31404-6268
(912) 350-5970
(912) 350-3374
Mailing address
4750 WATERS AVE STE 302, SAVANNAH, GA 31404-6268
(912) 350-5970
(912) 350-3374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN130768
GA
363LF0000X
Family Nurse Practitioner
RN130768
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01366588
AMERIGROUP
—
05
—
034647725B
—
GA
01
—
511I500980
TERM'D MEDICARE PTAN
GA
01
—
544900
WELLCARE
—
05
—
NP2498
—
SC
01
—
P00714516
RR MEDICARE
GA
Enumeration date
06/21/2007
Last updated
08/07/2018
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