Provider Demographics
NPI:1235683442
Name:SIMS, SHALANDRIA (NP-C)
Entity type:Individual
Prefix:
First Name:SHALANDRIA
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 311440
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31131-1440
Mailing Address - Country:US
Mailing Address - Phone:404-939-0667
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 311440
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:31131-1440
Practice Address - Country:US
Practice Address - Phone:404-806-9542
Practice Address - Fax:404-800-5889
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF06162372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily