| NPI | 1104203827 |
|---|---|
| Former Name | JEQUIE BREANNA SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24297) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5007620) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2018-11-20 |