Provider Demographics
NPI:1669157830
Name:EPPS, KASI SIMS (FNP)
Entity type:Individual
Prefix:MRS
First Name:KASI
Middle Name:SIMS
Last Name:EPPS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KASI
Other - Middle Name:MARISA
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 OUTING CLUB RD
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-8689
Mailing Address - Country:US
Mailing Address - Phone:803-550-6192
Mailing Address - Fax:
Practice Address - Street 1:2062 WHISKEY RD.
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-6183
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27448363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily