Provider Demographics
NPI:1588267132
Name:SIMS, ANNA BORISOVNA (FNP-C)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:BORISOVNA
Last Name:SIMS
Suffix:
Gender:F
Credentials: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:LILE WELLNESS PARTNERS
Mailing Address - Street 2:120 3RD AVE S
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:678-381-1420
Mailing Address - Fax:
Practice Address - Street 1:LILE WELLNESS PARTNERS
Practice Address - Street 2:120 3RD AVE S
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:678-381-1420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27551363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily