JACLYN SIMS (NPI# 1902333560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902333560 |
| Entity Type | Individual |
| Full Name | JACLYN SIMS |
| Credential | CRNP |
| Practice Address |
4508 Chestnut St Philadelphia PA 19139-3608 |
| Mailing Address |
20 Cherry Ln West Deptford NJ 08096-6311 |
| Practice Telephone | 2677878300 |
| Mailing Telephone | 5705900056 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP017247 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00726300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Cherry Ln, West Deptford, NJ 080966311 | 5705900056 |
| Street Address |
4508 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-3608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114186723 | Elizabeth Mary Dalton | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-06-09 |
| 1952934135 | Shakitta Denise Plant | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2020-02-17 |
| 1245752310 | Alexandra Elizabeth Zamore | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2017-07-11 |
| 1710347661 | Trinity Health Life Pennsylvania, Inc. | PACE Provider Organization | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2016-03-03 |
| 1407297179 | Pamela Z Cacchione | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2013-07-10 |
| 1821324492 | Megan Mcglade | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2009-11-02 |
| 1649429267 | Judith Draper | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-09-18 |
| 1053576835 | Upenn Life | Health Maintenance Organization | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-07-22 |
| 1326209495 | Nancy L Bocchino | Nurse Practitioner | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2008-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1205306545 | Vadim Selyukov | Nurse Practitioner | 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 | 2018-11-29 |
| 1619420940 | Bridget Mccoy | Nurse Practitioner | 4929 Cedar Ave, Philadelphia, PA 19143-2013 | 2016-08-03 |
| 1003265489 | Stephanie Hand | Nurse Practitioner | 2409 Bainbridge St, Philadelphia, PA 19146-1014 | 2016-06-07 |
| 1679929095 | Michelle Marowitz | Nurse Practitioner | 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 | 2016-05-05 |
| 1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
| 1174920086 | Frances Garbarino | Nurse Practitioner | 501 S 53rd St, Philadelphia, PA 19143 | 2014-11-21 |
| 1033551130 | Mollie Evelyn Wilson | Nurse Practitioner | 5820 W Girard Ave, Philadelphia, PA 19131-4850 | 2013-07-18 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on JACLYN SIMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.