Provider Demographics
NPI:1306954383
Name:SIMS, LINDA DARLENE (MSN,FNP-C)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DARLENE
Last Name:SIMS
Suffix:
Gender:F
Credentials:MSN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 MOBILE INFIRMARY BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3509
Mailing Address - Country:US
Mailing Address - Phone:251-435-5957
Mailing Address - Fax:251-435-3067
Practice Address - Street 1:185 MOBILE INFIRMARY BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3509
Practice Address - Country:US
Practice Address - Phone:251-435-5957
Practice Address - Fax:251-435-3067
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-080363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK051538764Medicaid
AL051538772OtherBC/BS OF AL
AL1-080363OtherNURSING LICENSE
AK051538764Medicaid