Provider Demographics
NPI:1427107903
Name:SIMS, OLIVIA (FNP,C)
Entity type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:FNP,C
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:811 FISCHER BLVD
Mailing Address - Street 2:APT PB5
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4605
Mailing Address - Country:US
Mailing Address - Phone:732-929-3440
Mailing Address - Fax:732-270-4949
Practice Address - Street 1:65 BERGEN ST STE 1118
Practice Address - Street 2:UMDNJ SCHOOL OF NURSING
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-3001
Practice Address - Country:US
Practice Address - Phone:973-972-7217
Practice Address - Fax:973-972-7853
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NN08101800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily