Chastity Quayondra Sims, NP
Individual provider Active NPI Family Nurse Practitioner · Wesson, MS
NPI 1366987455 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1366987455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 901702 (MS)
- Practice address
- 2597 Old Highway 51 NE
Wesson, MS 39191-9414 - Phone
- (601) 754-6545
- NPI assigned
- Dec 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22113 | TN | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 22113 | TN | |
| Family Nurse Practitioner |
363LF0000X | 901702 | MS | Yes |
Addresses
Primary practice location
2597 Old Highway 51 NE
Wesson, MS 39191-9414
Mailing address
PO Box 413
Wesson, MS 39191-0413
Phone (601) 754-6545
Other providers in Wesson, MS
- Susan Renee Moore
- Millicent Porter
- Rochland Shunta Porter
- Marcella Roberts
- Rebecca Lind Schrader
- Angela N Smith
- Marissa W Smith
- The Oliver House Adult Daycare
- Nathaniel Tillman
- Yvette Tillman
All providers in Wesson, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.