Individual provider · NPI-1

Jacqueline Sims

Alzheimer Center (Dementia Center) · Memphis, TN

NPI number1861083016
StatusActive
Last updated in NPPESJan 31, 2021

Details

NPI
1861083016
Entity type
Individual (NPI-1)
Name
Jacqueline Sims
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 31, 2021
Certification date
Jan 31, 2021
Last updated
Jan 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311500000X Alzheimer Center (Dementia Center)––Yes

Practice location

118 River Heights Dr Apt 102
Memphis, TN 38103

Phone 901-292-4649

Mailing address

118 River Heights Dr Apt 102
Memphis, TN 38103

Phone 901-292-4649

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Alzheimer Center (Dementia Center) providers in Memphis, TN