Provider Demographics
NPI:1023430725
Name:SIMS, JOSEPHINE ELIZABETH (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JOSEPHINE
Middle Name:ELIZABETH
Last Name:SIMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 HIGHLAND PARK PLZ
Mailing Address - Street 2:SUITE 205
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7130
Mailing Address - Country:US
Mailing Address - Phone:985-871-8681
Mailing Address - Fax:
Practice Address - Street 1:205 HIGHLAND PARK PLZ
Practice Address - Street 2:SUITE 205
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7130
Practice Address - Country:US
Practice Address - Phone:985-871-8681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP07622OtherLOUISIANA STATE BOARD OF NURSING LICENSE NUMBER