MS. ETHER SIMS JOE FNP NPI 1780658336

NPI Information

NPI: 1780658336
Provider Name: MS. ETHER SIMS JOE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
W. S. S. U., A. H. RAY STUDENT HEALTH CENTER
601 MARTIN LUTHER KING, JR., DR.
WINSTON-SALEM, NC
ZIP 27110
Phone: (336) 750-3302
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MS. Ether Sims Joe, FNP is a family nurse practitioner in Winston-salem, NC. MS. Ether Sims Joe, FNP NPI is 1780658336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W. S. S. U., A. H. RAY STUDENT HEALTH CENTER
601 MARTIN LUTHER KING, JR., DR.
WINSTON-SALEM, NC
ZIP 27110-001
Phone: (336) 750-3302
Fax: (336) 750-3303

The enumeration date for this NPI number is 2/13/2006 and was last updated on 7/8/2007.

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	363LF0000X	Nurse Practitioner	Family	MB200809	NORTH CAROLINA	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
1	259-4534	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	7000169	MEDICAID	NORTH CAROLINA
3	S57587	MEDICARE UPIN	NORTH CAROLINA

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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