Provider Demographics
NPI:1609366640
Name:SIMMS, DAYLA (RN)
Entity Type:Individual
Prefix:
First Name:DAYLA
Middle Name:
Last Name:SIMMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 FM 343
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75964
Mailing Address - Country:US
Mailing Address - Phone:936-221-9668
Mailing Address - Fax:
Practice Address - Street 1:2808 FM 343
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75964-1762
Practice Address - Country:US
Practice Address - Phone:936-221-9668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX773691163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse