Provider Demographics
NPI:1902615495
Name:SIMS, JOYNIESHIA T
Entity type:Individual
Prefix:MS
First Name:JOYNIESHIA
Middle Name:T
Last Name:SIMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 E BROWN RD APT 74
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-4945
Mailing Address - Country:US
Mailing Address - Phone:480-669-9696
Mailing Address - Fax:
Practice Address - Street 1:4248 N 15TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53209-6945
Practice Address - Country:US
Practice Address - Phone:480-669-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide