Provider Demographics
NPI:1407528896
Name:SIMS, JANICE DENISE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:DENISE
Last Name:SIMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:725 GLENWOOD DR STE E500
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1138
Mailing Address - Country:US
Mailing Address - Phone:423-495-2635
Mailing Address - Fax:423-495-2638
Practice Address - Street 1:725 GLENWOOD DR STE E500
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1138
Practice Address - Country:US
Practice Address - Phone:423-495-2635
Practice Address - Fax:423-495-2638
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30546363L00000X, 363LG0600X
GA226303363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner