Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist |
NPI | 1891135505 |
---|---|
Provider Name | Shilante N Simms |
First Address | Knoxville, TN 37917-5158 |
Second Address | Knoxville, TN 37917-5158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2013 |
Last Update Date | 26/06/2013 |