Individual
STEPHANIE MICHELE SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
2901 4TH ST, LONGVIEW, TX 75605-5128
(903) 758-1818
Mailing address
155 FAITH LN, DIANA, TX 75640-3998
(903) 368-4338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1128388
TX
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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