Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 76203 | GA |
NPI | 1114362977 |
---|---|
Provider Name | Kjoy Jasmine A Simms |
First Address | New Orleans, LA 70118-5798 |
Second Address | New Orleans, LA 70118-5798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2013 |
Last Update Date | 15/11/2019 |