Individual provider · NPI-1

Kerstie Kay Sims

Nurse Practitioner, Pediatrics · Bremen, GA

NPI number1932730306
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1932730306
Entity type
Individual (NPI-1)
Name
Kerstie Kay Sims
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 3, 2020
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsRN268363GAYes
163W00000X Registered Nurse268363GA

Practice location

1009 Alabama Ave S
Bremen, GA 30110-2501

Phone 678-821-1660

Mailing address

1009 Alabama Ave S
Bremen, GA 30110-2501

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