JALEEN SIMS M.D. NPI 1073995098

NPI Information

NPI: 1073995098
Provider Name: JALEEN SIMS, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC

PECOS Registration: Yes

Address:
3502 W NORTHSIDE DR
JACKSON, MS
ZIP 39213
Phone: (601) 364-5142
Get Directions

Jaleen Sims, M.D. is an obstetrics gynecology in Jackson, MS with 9 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jaleen Sims, M.D. NPI is 1073995098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

3502 W NORTHSIDE DR
JACKSON, MS
ZIP 39213
Phone: (601) 364-5142
Fax: (601) 364-5159

The NPI 1073995098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2015 and was last updated on 9/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		T-3012	MISSISSIPPI	No
2	207V00000X	Obstetrics & Gynecology		26972	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	845602	OTHER	MISSISSIPPI	MEDICARE
2	03159001	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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