Provider Demographics
NPI:1518724293
Name:SIMS, YOLANDA CHARLOTTE (CNA)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:CHARLOTTE
Last Name:SIMS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 NORTHRIDGE DR APT 508
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1745
Mailing Address - Country:US
Mailing Address - Phone:803-295-1167
Mailing Address - Fax:
Practice Address - Street 1:3013 NORTHRIDGE DR APT 508
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1745
Practice Address - Country:US
Practice Address - Phone:803-295-1167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide