Provider Demographics
NPI:1205324357
Name:SIMS, LONA M (AS HUMAN SERVICE)
Entity type:Individual
Prefix:
First Name:LONA
Middle Name:M
Last Name:SIMS
Suffix:
Gender:F
Credentials:AS HUMAN SERVICE
Other - Prefix:
Other - First Name:LONA
Other - Middle Name:MARIE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:106 GATEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-6304
Mailing Address - Country:US
Mailing Address - Phone:770-899-3525
Mailing Address - Fax:
Practice Address - Street 1:2113 DEFOORS FERRY RD NW APT F5
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2344
Practice Address - Country:US
Practice Address - Phone:770-899-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA17051614163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health