Provider Demographics
NPI:1720548902
Name:SIMS, MELISSA EVON (APN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:EVON
Last Name:SIMS
Suffix:
Gender:F
Credentials:APN, FNP-BC
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Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:833-908-0998
Practice Address - Street 1:555 JUSTIS DR
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4288
Practice Address - Country:US
Practice Address - Phone:423-783-7965
Practice Address - Fax:833-908-2073
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0994566-NP363LP2300X
OR202102615NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care