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Individual

TRICKERA T SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
107 CANAL ST, POOLER, GA 31322-4016
(912) 450-1949
Mailing address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
226723
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14877549958
NC
Enumeration date
03/26/2009
Last updated
06/26/2025
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