Provider Demographics
NPI:1821746207
Name:SIMS, CARRIE FRANCES (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:FRANCES
Last Name:SIMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:FRANCES
Other - Last Name:HODGES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1680 HARTWICK PINES RD
Mailing Address - Street 2:
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-9237
Mailing Address - Country:US
Mailing Address - Phone:989-344-2002
Mailing Address - Fax:989-344-2002
Practice Address - Street 1:1680 HARTWICK PINES RD
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-9237
Practice Address - Country:US
Practice Address - Phone:989-344-2002
Practice Address - Fax:989-344-2005
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704245215163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse