Shannon Davis Sims Valid NPI
Individual provider · Certified Registered Nurse Anesthetist · Hattiesburg, MS
- NPI
- 1780022509
- Type
- Individual (Type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 367500000X
- License number
- R878918 (MS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2013-06-14
- Last updated
- 2020-08-10
Practice location
415 S 28th Ave
Hattiesburg, MS 39401-7246
(601) 261-3606