Provider Demographics
NPI:1427858752
Name:SIMS, COURTNEY A
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:A
Last Name:SIMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3463 FALLSBURG RD NE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9672
Mailing Address - Country:US
Mailing Address - Phone:740-281-4127
Mailing Address - Fax:
Practice Address - Street 1:3463 FALLSBURG RD NE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9672
Practice Address - Country:US
Practice Address - Phone:740-281-4127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker