Provider Demographics
NPI:1558308841
Name:SIMS, JENNIFER G (NP, CNS)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:G
Last Name:SIMS
Suffix:
Gender:F
Credentials:NP, CNS
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Mailing Address - Street 1:8053 UPLAND CT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-9585
Mailing Address - Country:US
Mailing Address - Phone:317-290-8194
Mailing Address - Fax:
Practice Address - Street 1:1481 W 10TH ST # C-5085
Practice Address - Street 2:RICHARD L ROUDEBUSH VA MEDICAL CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-988-2757
Practice Address - Fax:317-988-4246
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN70000007A364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health