Individual
JACLYN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4508 CHESTNUT ST, PHILADELPHIA, PA 19139-3608
(267) 787-8300
Mailing address
20 CHERRY LN, WEST DEPTFORD, NJ 08096-6311
(570) 590-0056
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
26NJ00726300
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
SP017247
PA
Other
Enumeration date
05/15/2017
Last updated
04/26/2019
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