Provider Demographics
NPI:1174180699
Name:SIMS, ERIN JAYNES (FNP-C, AG-ANCP-BC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:JAYNES
Last Name:SIMS
Suffix:
Gender:F
Credentials:FNP-C, AG-ANCP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:803-749-0924
Mailing Address - Fax:803-407-4101
Practice Address - Street 1:7035 SAINT ANDREWS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-1177
Practice Address - Country:US
Practice Address - Phone:803-749-0924
Practice Address - Fax:803-407-4101
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC220006163W00000X
SC23046363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse