Provider Demographics
NPI:1447402086
Name:SIMS, JOHN W (NP)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:W
Last Name:SIMS
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Gender:M
Credentials:NP
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Mailing Address - Street 1:1275 HIGHWAY 54 W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4549
Mailing Address - Country:US
Mailing Address - Phone:770-461-3776
Mailing Address - Fax:770-461-3565
Practice Address - Street 1:1275 HIGHWAY 54 W
Practice Address - Street 2:SUITE 200
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4549
Practice Address - Country:US
Practice Address - Phone:770-461-3776
Practice Address - Fax:770-461-3565
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2011-03-30
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Provider Licenses
StateLicense IDTaxonomies
GARN153608363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner