Provider Demographics
NPI:1437155694
Name:SIMS, AMY F (FNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:F
Last Name:SIMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 W FOREST LN
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-1645
Mailing Address - Country:US
Mailing Address - Phone:580-726-5673
Mailing Address - Fax:580-726-2416
Practice Address - Street 1:407 W FOREST LN
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-1645
Practice Address - Country:US
Practice Address - Phone:580-726-5673
Practice Address - Fax:580-726-2416
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201934363LF0000X
OK118547363LF0000X
NC124102363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ27324Medicare UPIN