Individual
MS. ETHER SIMS JOE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
W. S. S. U., A. H. RAY STUDENT HEALTH CENTER, 601 MARTIN LUTHER KING, JR., DR., WINSTON-SALEM, NC 27110-0001
(336) 750-3302
(336) 750-3303
Mailing address
51 ROBINHOOD CIR, WINSTON SALEM, NC 27106-4260
(336) 922-6840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MB200809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000169
—
NC
Enumeration date
02/13/2006
Last updated
07/08/2007
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